Individual provider Active NPI

Sasha Brigett Trejos, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1639482110
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76424 Issued in CA
Practice address
10281 Kidd St
Riverside, CA 92503-3469
Phone
(951) 715-5050
Fax
(951) 784-4986
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 76424 CA Primary

Addresses

Primary practice location

10281 Kidd St
Riverside, CA 92503-3469

Mailing address

9990 County Farm Rd Ste 5
Riverside, CA 92503-3542
Phone (951) 715-5050

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
76424CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Aug 28, 2022 Accepting new patients

Locations

1405 Spruce St
Ste A
Riverside, CA 92507
Phone (951) 396-6870

10281 Kidd St
Riverside, CA 92503
Phone (951) 358-5785

9990 County Farm Rd
Ste 5
Riverside, CA 92503
Phone (951) 358-3509

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1639482110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD STE 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "951-715-5050",
            "fax_number": "951-784-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 KIDD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033469",
            "telephone_number": "951-715-5050",
            "fax_number": "951-784-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJOS",
        "first_name": "SASHA",
        "middle_name": "BRIGETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.