Resilience Within Licensed Clinical Social Worker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCE WITHIN LICENSED CLINICAL SOCIAL WORKER

Practice address

14726 Ramona Ave Ste S17
Chino, CA 91710-5730

Phone

(626) 386-3316

Fax

(626) 270-4237

NPI assigned

Jul 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeannie Tse, LCSW

Title

Owner

Phone

(626) 386-3316

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doreen Ellena Hoornbeek, M.S. MFT

  • Marriage & Family Therapist
  • Gardena, CA
  • NPI 1669753778
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1407408693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE S17",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-386-3316",
            "fax_number": "626-270-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE S17",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-386-3316",
            "fax_number": "626-270-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE WITHIN LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-386-3316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "64465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renaissance Radiology Medical Group, Inc
• Renaissance Radiology Medical Group, Inc.
• Renaissance Radiology Medical Group, Inc.
• Darwin Reola
• Reproductive Health Centers Inc
• Reslience Within Jeannie Tse
• Rosario Retino, MD FACP
• Candice Reyes, FNP-C
• Noah Bailey Reyes, SPA
• Cameon Reynolds, FNP

• Clinical Social Worker in Chino, CA
• Providers in Chino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.