NPIMap

Organization Active NPI

Social Resources Network, Inc.

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1407446123
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOCIAL RESOURCES NETWORK, INC.
Practice address
23945 Sunnymead Blvd Ste 3
Moreno Valley, CA 92553-3025
Phone
(562) 200-4381
Fax
(951) 346-4117
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Telana Mone CourseaultNPI 1306963392
Title
Director of Operations
Phone
(562) 200-4381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

23945 Sunnymead Blvd Ste 3
Moreno Valley, CA 92553-3025

Mailing address

11019 Reichling LN
Whittier, CA 90606-1508
Phone (562) 200-4381

Other names 1

  • Social Resources Network, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcourseault@srcpro.org

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1407446123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 REICHLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061508",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23945 SUNNYMEAD BLVD STE 3",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533025",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL RESOURCES NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "COURSEAULT",
        "authorized_official_first_name": "TELANA",
        "authorized_official_middle_name": "MONE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "562-200-4381"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcourseault@srcpro.org",
            "affiliation": "N",
            "address_1": "23945 Sunnymead Blvd Ste 3",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925533025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Social Resources Network, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2021; 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.