NPIMap

Organization Active NPI

Reproductive Mental Health and Wellness Licensed Clinical Social Worke

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1497300693
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REPRODUCTIVE MENTAL HEALTH AND WELLNESS LICENSED CLINICAL SOCIAL WORKE
Practice address
11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Phone
(858) 380-2600
Fax
(858) 367-6160
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Emily Remba, LCSWNPI 1043503410
Title
President
Phone
(858) 367-3622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644

Mailing address

11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Phone (858) 380-2600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1497300693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271644",
            "telephone_number": "858-380-2600",
            "fax_number": "858-367-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271644",
            "telephone_number": "858-380-2600",
            "fax_number": "858-367-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRODUCTIVE MENTAL HEALTH AND WELLNESS LICENSED CLINICAL SOCIAL WORKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "REMBA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-367-3622",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.