Active NPI
Noelia Rebeca Galvez-Nelson, LCSW
- Clinical Social Worker
- Yucaipa, CA
National Provider Identifier
1487840369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW71174
- Practice address
- 34324 Yucaipa Blvd
Suite B-D
Yucaipa, CA 92399-2496 - Phone
- (909) 790-1300
- Fax
- (909) 797-9687
- NPI assigned
- Sep 24, 2007
- Last updated
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 | LCSW71174 | CA | Primary |
Addresses
Primary practice location
34324 Yucaipa Blvd
Suite B-D
Yucaipa, CA 92399-2496
Mailing address
27261 Las Ramblas
Suite 100
Mission Viejo, CA 92691-6441
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1686 Barton Rd
Redlands, CA 92373-1488
Phone (909) 558-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW71174 | CA | MD | Clinical Social Worker |
| 71174 | CA | MD | Pharmacist |
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Redlands, CA
- NPI 1720500457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1487840369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27261 LAS RAMBLAS",
"address_2": "SUITE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34324 YUCAIPA BLVD",
"address_2": "SUITE B-D",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992496",
"telephone_number": "909-790-1300",
"fax_number": "909-797-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVEZ-NELSON",
"first_name": "NOELIA",
"middle_name": "REBECA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW71174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.