Active NPI
Monique Quitoriano Manriquez, LCSW
- Clinical Social Worker
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW81897
- Practice address
- 10532 Acacia St Ste B4
Rancho Cucamonga, CA 91730-5455 - Phone
- (909) 248-2674
- NPI assigned
- Jun 29, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW81897 | CA | Primary |
Addresses
Primary practice location
10532 Acacia St Ste B4
Rancho Cucamonga, CA 91730-5455
Mailing address
4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone (951) 394-2388
Other practice location 1
11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone (951) 394-2388
Other names 1
- Monique Johanna Quitoriano
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW81897 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142
10532 Acacia St
Ste B4
Rch Cucamonga, CA 91730
Phone (909) 325-3766
4095 County Circle Dr
Riverside, CA 92503
Phone (951) 358-4500
2085 Rustin Ave
Riverside, CA 92507
Phone (800) 499-3008
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1730515032
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1427345362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626857",
"telephone_number": "951-394-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10532 ACACIA ST STE B4",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305455",
"telephone_number": "909-248-2674"
}
],
"practiceLocations": [
{
"address_1": "11801 Pierce St Ste 200",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925054400",
"country_code": "US",
"telephone_number": "951-394-2388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANRIQUEZ",
"first_name": "MONIQUE",
"middle_name": "QUITORIANO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW81897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "QUITORIANO",
"middle_name": "JOHANNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.