Organization Active NPI

Sisters of Soul (Sos) Youth and Family

  • Clinical Social Worker
  • Colton, CA
National Provider Identifier
1548719644
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29356 Issued in CA
Legal business name
SISTERS OF SOUL (SOS) YOUTH AND FAMILY
Practice address
937 Via Lata Ste 400
Colton, CA 92324-3958
Phone
(909) 533-4889
NPI assigned
Sep 29, 2016
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Angela Beal
Title
Ceo
Phone
(909) 533-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29356 CA Primary

Addresses

Primary practice location

937 Via Lata Ste 400
Colton, CA 92324-3958

Mailing address

937 Via Lata Ste 400
Colton, CA 92324-3958
Phone (909) 533-4889

National Provider Directory

National Provider Directory

Locations

937 Via Lata
Ste 400
Colton, CA 92324
Phone (601) 527-7537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1548719644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 VIA LATA STE 400",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243958",
            "telephone_number": "909-533-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 VIA LATA STE 400",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243958",
            "telephone_number": "909-533-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF SOUL (SOS) YOUTH AND FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-533-4889"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.