Organization Active NPI

Atlas Behavioral Health, a Licensed Clinical Social Worker Professional Corporation

  • Clinical Social Worker
  • Corona, CA
National Provider Identifier
1801744180
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ATLAS BEHAVIORAL HEALTH, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
2524 Redrock Dr
Corona, CA 92882-8604
Phone
(951) 452-6258
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Elizabeth Garduque, LCSW
Title
President
Phone
(951) 452-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2524 Redrock Dr
Corona, CA 92882-8604

Mailing address

500 N. State College Blvd Ste 1100
PMB 6021
Orange, CA 92868
Phone (951) 452-6258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1801744180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. STATE COLLEGE BLVD STE 1100",
            "address_2": "PMB 6021",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "951-452-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 REDROCK DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828604",
            "telephone_number": "951-452-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS BEHAVIORAL HEALTH, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GARDUQUE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-452-6258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.