Justin Arthur Womer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81193 Issued in CA

Practice address

686 E Mill St
San Bernardino, CA 92415-1855

Phone

(800) 451-5633

NPI assigned

Feb 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Justin Linwood Womer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1780916718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 ROSEBAY ST",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093312",
            "telephone_number": "909-240-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924151855",
            "telephone_number": "800-451-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11951 Hesperia Rd",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451855",
            "country_code": "US",
            "telephone_number": "760-956-2434",
            "fax_number": "760-956-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMER",
        "first_name": "JUSTIN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "10061217",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "WOMER",
            "middle_name": "LINWOOD",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jinan Diya Wohlwend
• David J. Wolfe
• Rachel Woll
• Woman to Woman OB/GYN Medical Group, Inc
• Womens Inspirational Network
• Won Jo, MD, Inc
• Dorothy Sok Mon Wong, RPH
• Stephanie Wong, CCC-SLP
• Vincent Jih Chong Wong
• Woo Yong Lee DDS Inc

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 25, 2019; 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.