Individual provider Active NPI

Deborah Louise Joe, MSW

  • Social Worker
  • Moreno Valley, CA
National Provider Identifier
1558081505
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108141 Issued in CA
Practice address
25030 Ocotillo Ave
Moreno Valley, CA 92553-4440
Phone
(951) 247-3000
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108141 CA Primary

Addresses

Primary practice location

25030 Ocotillo Ave
Moreno Valley, CA 92553-4440

Mailing address

1410 3Rd St Ste 2
Riverside, CA 92507-3454
Phone (951) 682-7600

Other practice location 1

2248 Sheridan Rd
San Bernardino, CA 92407-2444
Phone (909) 473-1700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clinician@bfnmh.com Direct
Direct Messaging Address clinician@bfnmh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108141CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Purposely Chosen, Inc. CurrentSince Sep 4, 2022 Accepting new patients
Purposely Chosen, Inc. PastSince Dec 6, 2020 Accepting new patients

Locations

1410 3rd St
Ste 2
Riverside, CA 92507
Phone (909) 471-0697

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1558081505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 3RD ST STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073454",
            "telephone_number": "951-682-7600",
            "fax_number": "760-302-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 OCOTILLO AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534440",
            "telephone_number": "951-247-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2248 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924072444",
            "country_code": "US",
            "telephone_number": "909-473-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOE",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "108141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinician@bfnmh.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2248 Sheridan Rd",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924072444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinician@bfnmh.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25030 Ocotillo Ave",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925534440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.