Progressive Movement Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PROGRESSIVE MOVEMENT INC.

Practice address

16041 Kamana Rd Ste a
Apple Valley, CA 92307-1331

Phone

(760) 442-5513

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Teri Marie Martin, LCSWNPI 1174835409

Title

Mental Health Therapist

Phone

(760) 442-5513

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Teri M Martin

  • Mental Health Counselor
  • Victorville, CA
  • NPI 1174835409
  Medicare reassignment NPD Authorized official
• Sariah Carter Dubose

  • Health Educator
  • Apple Valley, CA
  • NPI 1275423097
  NPD
• Monea Phillips

  • Community Health Worker
  • Apple Valley, CA
  • NPI 1467315044
  NPD
• Becky Slayton

  • Community Health Worker
  • Apple Valley, CA
  • NPI 1841089992
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1720736473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16041 KAMANA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071331",
            "telephone_number": "760-442-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16041 KAMANA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071331",
            "telephone_number": "760-442-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MOVEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "760-442-5513",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS NUMBER",
            "identifier": "LCSW-101451",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "T.MartinLCSW@outlook.com",
            "affiliation": "N",
            "address_1": "16041 Kamana Rd Ste A",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.