Individual provider Active NPI

Monique Quitoriano Manriquez, LCSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1427345362
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW81897 Issued in CA
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

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814004243 CA Practitioner - Clinical Social Worker 1951650530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW81897CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Jun 26, 2018 Accepting new patients
Soultenders, Inc. Mental Health CurrentSince Mar 11, 2021 Accepting new patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Jun 26, 2018 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.

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

Verify at the official NPI Registry.