Individual provider Active NPI

Priscilla Cesar, LCSW

  • Clinical Social Worker
  • Lake Elsinore, CA
National Provider Identifier
1790110922
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75275 Issued in CA
Practice address
600 Central Ave Ste E1
Lake Elsinore, CA 92530-2749
Phone
(951) 394-1643
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 75275 CA Primary

Addresses

Primary practice location

600 Central Ave Ste E1
Lake Elsinore, CA 92530-2749

Mailing address

39520 Murrieta Hot Springs Rd # 219-9
Murrieta, CA 92563-7713
Phone (951) 394-1643

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
75275CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Counseling Psychotherapy, Inc. PastSince Jun 1, 2020 Accepting new patients
Community Access Network Non Profit Corporation PastSince Jun 1, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1790110922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39520 MURRIETA HOT SPRINGS RD # 219-9",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637713",
            "telephone_number": "951-394-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE E1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302749",
            "telephone_number": "951-394-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESAR",
        "first_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.