Active NPI
Pacific Wellness Therapy Group, a Licensed Clinical Social Worker Corporation
- Clinical Social Worker
- Moreno Valley, CA
National Provider Identifier
1386558039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PACIFIC WELLNESS THERAPY GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
- Practice address
- 22866 Maybrook Way
Moreno Valley, CA 92557 - Phone
- (951) 289-0135
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rechelle West, LCSW
- Title
- President
- Phone
- (951) 289-0135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
22866 Maybrook Way
Moreno Valley, CA 92557
Mailing address
12625 Frederick St.
Ste I-5, #157
Moreno Valley, CA 92553-5235
Phone (951) 289-0135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1386558039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12625 FREDERICK ST.",
"address_2": "STE I-5, #157",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535235",
"telephone_number": "951-289-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22866 MAYBROOK WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92557",
"telephone_number": "951-289-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC WELLNESS THERAPY GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-26",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "RECHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-289-0135",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.