Selena Briana Bueno LCSW a Prof Corp

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SELENA BRIANA BUENO LCSW A PROF CORP

Practice address

4158 Rosewood PL
Riverside, CA 92506-1757

Phone

(909) 544-1492

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Selena Briana Bueno, LCSWNPI 1194208033

Title

Ceo

Phone

(909) 544-1492

Specialties & licenses 1

Addresses

Other names 1

• Individual Empowerment Therapy Services Doing business as

Practitioners 1

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

• Selena Briana Bueno, LCSW 106504

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1194208033
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1609647825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 VAN BUREN BLVD",
            "address_2": "PMB 620",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 ROSEWOOD PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061757",
            "telephone_number": "909-544-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENA BRIANA BUENO LCSW A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "BRIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-544-1492",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Individual Empowerment Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Robert Seigler, M.D.
• Mabel B Seisay
• Manraj Singh Sekhon, MD
• Select Cal Physical Therapy PC
• Select LTC Pharmacy Corporation
• Self Love Mental Health & Wellness Nursing Services, Inc
• Paul Curtis Seltzer
• Alaysia Selvin
• Eduard Semenov, LMFT
• Angiolina Seminario

• Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.