Individual provider Active NPI

Leron Samuel Ribeiro-West, ACSW

  • Clinical Social Worker
  • Big Bear Lake, CA
National Provider Identifier
1437703667
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119013 Issued in CA
Practice address
PO Box 1649
Big Bear Lake, CA 92315-1649
Phone
(909) 878-8246
Fax
(909) 878-2494
NPI assigned
Jul 25, 2019
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119013 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 119013 CA

Addresses

Primary practice location

PO Box 1649
Big Bear Lake, CA 92315-1649

Mailing address

PO Box 110
Big Bear Lake, CA 92315-0110
Phone (402) 904-2162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119013CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1437703667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923150110",
            "telephone_number": "402-904-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151649",
            "telephone_number": "909-878-8246",
            "fax_number": "909-878-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO-WEST",
        "first_name": "LERON",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119013",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "119013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.