Organization Active NPI

Monica Nunez Licensed Clinical Social Worker, PC

  • Community/Behavioral Health Agency
  • Jurupa Valley, CA
National Provider Identifier
1679258305
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MONICA NUNEZ LICENSED CLINICAL SOCIAL WORKER, PC
Practice address
10941 50TH St
Jurupa Valley, CA 91752-1816
Phone
(951) 373-9797
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Monica Nunez, MSWNPI 1588068944
Title
LCSW
Phone
(951) 373-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10941 50TH St
Jurupa Valley, CA 91752-1816

Mailing address

PO Box 93
Mira Loma, CA 91752-0093
Phone (951) 373-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822003923 CA Part B Supplier - Clinic/Group Practice 7315447414 Receives reassigned benefits from 1 practitioner
Practice locations: Jurupa Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1679258305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917520093",
            "telephone_number": "951-373-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 50TH ST",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917521816",
            "telephone_number": "951-373-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA NUNEZ LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "951-373-9797",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.