Individual provider Active NPI

Courtney Hall, ACSW

  • Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1659104859
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
122010 Issued in CA
Practice address
9089 Base Line Rd Ste 200
Rancho Cucamonga, CA 91730-1295
Phone
(909) 281-5800
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 122010 CA Primary

Addresses

Primary practice location

9089 Base Line Rd Ste 200
Rancho Cucamonga, CA 91730-1295

Mailing address

3100 Van Buren Blvd Apt 518
Riverside, CA 92503-5678
Phone (301) 806-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10350 Heritage Park Dr
Santa Fe Springs, CA 90670-3787

1329 N H St
San Bernardino, CA 92405-5039

139 Duncans Mill Dr
Locust Grove, GA 30248-2629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1659104859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 VAN BUREN BLVD APT 518",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035678",
            "telephone_number": "301-806-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 BASE LINE RD STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301295",
            "telephone_number": "909-281-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "122010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.