Individual provider Active NPI

Laura Louisa Castracane

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1669871778
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82454 Issued in CA
Practice address
1950 South Sunwest Lane
San Bernardino, CA 92415
Phone
(909) 252-4010
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 82454 CA Primary

Addresses

Primary practice location

1950 South Sunwest Lane
San Bernardino, CA 92415

Mailing address

1950 South Sunwest Lane
San Bernardino, CA 92415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001800 CA Practitioner - Clinical Social Worker 6305389222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych PartnersGroup PAC ID 0840639746, 24 clinicians

Practice addresses (Care Compare)

27349 Jefferson Ave
Suite 111
Temecula, CA 92590-5610
Phone (951) 383-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82454CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Solutions Clinical Current Accepting new patients
Psych Partners CurrentSince Apr 21, 2024 Accepting new patients
Psychotherapy Solutions Current Accepting new patients
Psychology Partners a Prof Corp Clinical PastSince Sep 14, 2025 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

Organizations & group practices 4

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1669871778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SOUTH SUNWEST LANE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SOUTH SUNWEST LANE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92415",
            "telephone_number": "909-252-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRACANE",
        "first_name": "LAURA",
        "middle_name": "LOUISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.