Cerin Takeuchi, A.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118648 Issued in CA

Practice address

41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630

Phone

(951) 587-4165

Fax

(951) 587-4297

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Koinonia Foster Homes, Inc.

  • Community/Behavioral Health Agency
  • Temecula, CA
  • NPI 1467995738
  NPD
• Koinonia Foster Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Antelope, CA
  • NPI 1831506534
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1780138388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5932",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608031",
            "telephone_number": "951-415-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-587-4165",
            "fax_number": "951-587-4297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Business Center Dr Ste 10A",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083438",
            "country_code": "US",
            "telephone_number": "909-890-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKEUCHI",
        "first_name": "CERIN",
        "credential": "A.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Taft
• Jasmine Valle Taheri, BS
• Melika Taheri
• Mariam Tahiry
• Lawrence Eugene Tak, RPH
• Tal D. Jergensen, DDS Inc
• Jasmine Talamantes
• Angela Elizabeth Talarzyk, LCSW
• Kristy Eve Talavera, DPT
• Caitlin Irene Talbot, LCSW

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, 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 May 6, 2026; 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.