Active NPI
Aimee Marie Enriquez, LCSW
- Clinical Social Worker
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101010
- Practice address
- 26001 Redlands Blvd
Redlands, CA 92373-7762 - Phone
- (909) 825-7094
- NPI assigned
- Apr 12, 2016
- Last updated
- Oct 25, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 78260 | CA | |
| Clinical Social Worker | 1041C0700X | 101010 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
26001 Redlands Blvd
Redlands, CA 92373-7762
Mailing address
26001 Redlands Blvd
Redlands, CA 92373-7762
Phone (909) 825-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
222 W Hospitality LN
FL 4
San Bernardino, CA 92415-0013
500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78260 | CA | MD | Mental Health Counselor |
| 101010 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Past | Accepting new patients |
Locations
2940 Inland Empire Blvd
Ontario, CA 91764
Phone (909) 458-1350
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
dba Apple Valley Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
dba Mariposa Community Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ontario, CA
- NPI 1962612549
-
dba Supportive Services
- Adult Mental Health Clinic/Center
- San Bernardino, CA
- NPI 1306055603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1417311713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26001 REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737762",
"telephone_number": "909-825-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26001 REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737762",
"telephone_number": "909-825-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "AIMEE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "78260",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101010",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
- Emad Ibrahim, MD, Inc.
- Emelly Rosspencer Licensed Marriage & Family Therapist Inc
- John Thomas Harlow Engelhardt, PSY.D.
- Erin K Engstrom, LPCC
- Josue Daniel Enriquez Quezada, LCSW
- Danielle Alexis Enriquez
- Lauren A Enriquez, LMFT
- Mary M Entezar
- Epic Health Plan
- Epifania V Nicolas (Nicolas Dental Corporation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.