Active NPI
Deborah Marie Veronica Nemley, MSW, ACSW
- Clinical Social Worker
- Redlands, CA
National Provider Identifier
1386944783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66947
- Practice address
- 20 W Lugonia Ave
Redlands, CA 92374-2234 - Phone
- (909) 307-5300
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 66947 | CA | Primary |
Addresses
Primary practice location
20 W Lugonia Ave
Redlands, CA 92374-2234
Mailing address
PO Box 1377
Loma Linda, CA 92354-1377
Phone (909) 850-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66947 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Care Solutions Group Inc | Current | Accepting new patients | |
| Redlands Unified School District | Past | Accepting new patients | |
| Beauregard Family Therapy Group Prof. Corp | Past | Accepting new patients |
Locations
3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120
23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390
27350 Nicolas Rd
Temecula, CA 92591
Phone (714) 545-3390
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Santa Ana, CA
- NPI 1548614183
-
- Marriage & Family Therapist
- Colton, CA
- NPI 1760154330
-
- Local Education Agency (LEA)
- Redlands, CA
- NPI 1669512059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1386944783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1377",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923541377",
"telephone_number": "909-850-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W LUGONIA AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742234",
"telephone_number": "909-307-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMLEY",
"first_name": "DEBORAH",
"middle_name": "MARIE VERONICA",
"credential": "MSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2024-08-16",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "66947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.