Cucamonga Couseling and Behavioral Solutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25874 Issued in CA

Legal business name

CUCAMONGA COUSELING AND BEHAVIORAL SOLUTIONS

Practice address

9333 Baseline Rd
Suite 150
Rancho Cucamonga, CA 91730-1350

Phone

(951) 751-2029

NPI assigned

May 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lena M Payne, LCSW, QCSW

Title

Partner

Phone

(951) 751-2029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274486400000",
    "number": "1447579032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "ETIWANDA",
            "state": "CA",
            "postal_code": "917390464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 BASELINE RD",
            "address_2": "SUITE 150",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301350",
            "telephone_number": "951-751-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUCAMONGA COUSELING AND BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-751-2029",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, QCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.