My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo
Organization Active NPI Clinical Social Worker · Calimesa, CA
NPI 1457052318 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1457052318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MY TIME THERAPY CLINIC ROBBIN S CANEVA LICENSED CLINICAL SOCIAL WO
- Practice address
- 1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563 - Phone
- (951) 800-5213
- Fax
- (951) 221-5274
- NPI assigned
- Mar 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Robbin S Caneva, LCSW
- Title
- LCSW
- Phone
- (951) 532-0712
Practitioners 2
-
Robbin S Caneva, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241127001970 | CA | Part B Supplier - Clinic/Group Practice | 5991230955 |
Receives reassigned benefits from 1 practitioner Practice locations: Calimesa, CA |
National Provider Directory
Locations
1096 Calimesa Blvd
Ste 110
Calimesa, CA 92320
Phone (951) 532-0712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563
Mailing address
1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563
Phone (951) 800-5213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272517621 | Other | CA | MEDICARE |
Other names
- My Time Therapy Clinic
Other providers in Calimesa, CA
- Serah Wambui Macharia
- Jacquelyn Renee McDonald
- Jordan Mondak
- Dennis John Mullenix II
- Edward Hassan Muwwakkil
- Leilina Nguyen
- Griselda Ortiz Rodriguez
- Keith Park
- Richard L Parker
- Colbi Rae Pickl
All providers in Calimesa, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.