Individual provider Active NPI

Michelle Marianne Redman, LCSW

  • Clinical Social Worker
  • Indio, CA
National Provider Identifier
1437659992
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW81505 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425002593 CA Practitioner - Clinical Social Worker 8123381092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW81505CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Redman Licensed Clinical Social Worker PC Clinical CurrentSince May 22, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Apr 7, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Apr 7, 2024 Accepting new patients
Oasis Behavioral Health, Inc. PastSince May 22, 2022 Accepting new patients
Affiliated Psychological Services PastSince Feb 16, 2025 Accepting new patients
Daniel D. Shirbroun, PHD, Inc, Psychologist PastSince Mar 22, 2018 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.

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

Sources for this page

Verify at the official NPI Registry.