Active NPI
Michelle Marianne Redman, LCSW
- Clinical Social Worker
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW81505
- Practice address
- 81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562 - Phone
- (760) 391-6999
- NPI assigned
- Feb 20, 2018
- Last updated
- May 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW81505 | CA | Primary |
Addresses
Primary practice location
81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562
Mailing address
64880 Cochran CT
Desert Hot Springs, CA 92240-1414
Phone (442) 307-1026
Other practice location 1
6274 Adobe Rd
29 Palms, CA 92277-2650
Phone (760) 367-3290
Other practice location 2
7293 Dumosa Ave Ste 8
Yucca Valley, CA 92284-3700
Phone (760) 369-7166
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 |
|---|---|---|---|
| LCSW81505 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redman Licensed Clinical Social Worker PC | Clinical | Current | Accepting new patients |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Oasis Behavioral Health, Inc. | Past | Accepting new patients | |
| Affiliated Psychological Services | Past | Accepting new patients | |
| Daniel D. Shirbroun, PHD, Inc, Psychologist | Past | Accepting new patients |
Locations
855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
4371 Latham St
#200
Riverside, CA 92501
Organizations & group practices 6
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 Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Clinical Social Worker
- Desert Hot Springs, CA
- NPI 1013510064
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
-
- Mental Health Counselor
- Twentynine Palms, CA
- NPI 1194539148
-
- Clinical Psychologist
- Yucca Valley, CA
- NPI 1982607784
-
- Community/Behavioral Health Agency
- Banning, CA
- NPI 1093388480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1437659992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64880 COCHRAN CT",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922401414",
"telephone_number": "442-307-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81557 DR CARREON BLVD STE C9",
"city": "INDIO",
"state": "CA",
"postal_code": "922015562",
"telephone_number": "760-391-6999"
}
],
"practiceLocations": [
{
"address_1": "6274 Adobe Rd",
"address_purpose": "LOCATION",
"city": "29 Palms",
"state": "CA",
"postal_code": "922772650",
"country_code": "US",
"telephone_number": "760-367-3290",
"fax_number": "760-367-4867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7293 Dumosa Ave Ste 8",
"address_purpose": "LOCATION",
"city": "Yucca Valley",
"state": "CA",
"postal_code": "922843700",
"country_code": "US",
"telephone_number": "760-369-7166",
"fax_number": "760-369-7167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDMAN",
"first_name": "MICHELLE",
"middle_name": "MARIANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW81505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
- Recovery Innovations Inc (RI International)
- Recovery Innovations, Inc (RI International)
- Recovery Innovations, Inc
- Recovery Innovations, Inc (RI International)
- Recovery Innovations, Inc. (RI International)
- Christopher Arlin Reece, ASW
- Anthony Reed
- Ruthanne Reed
- Stephen Dyllon Reeder
- Taylor Marie Reichle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.