Individual provider Active NPI

Teresa M Stewart-Thompson

  • Social Worker
  • Victorville, CA
National Provider Identifier
1750733135
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
14344 Cajon Ave Ste 102
Victorville, CA 92392-4301
Phone
(760) 243-3999
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Community Health Worker 172V00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

14344 Cajon Ave Ste 102
Victorville, CA 92392-4301

Mailing address

14344 Cajon Ave Ste 102
Victorville, CA 92392-4301
Phone (760) 243-3999

Other practice location 1

58923 Business Center Dr
Yucca Valley, CA 92284-7311
Phone (760) 365-7209 ext. 1172

Other identifiers 1

IdentifierTypeStateIssuer
58445OtherCAHEALTH NET

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Barstow
CONNECT URL Barstow

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Southern California Mental Health PastSince Jul 28, 2019 Accepting new patients
LSS Community Care Center PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 2

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1750733135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14344 CAJON AVE STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924301",
            "telephone_number": "760-243-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 CAJON AVE STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924301",
            "telephone_number": "760-243-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58923 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922847311",
            "country_code": "US",
            "telephone_number": "760-365-7209 x1172",
            "fax_number": "760-228-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART-THOMPSON",
        "first_name": "TERESA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "58445",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Barstow",
            "affiliation": "N",
            "address_1": "309 E Mountain View St Ste 100",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923112814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Barstow",
            "affiliation": "N",
            "address_1": "309 E Mountain View St Ste 100",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923112814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.