Individual provider Active NPI

Erika Renee Daniels, LCSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1801901442
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21835 Issued in CA
Practice address
9500 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-5839
Phone
(909) 980-6700
Fax
(909) 557-2146
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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 21835 CA Primary

Addresses

Primary practice location

9500 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-5839

Mailing address

27261 Las Ramblas Ste 200
Mission Viejo, CA 92691-6472
Phone (909) 980-6700

Other practice location 1

3611 S Harbor Blvd Ste 100
Santa Ana, CA 92704-7915
Phone (909) 980-6700

Other names 1

  • Miss Erika Renee Gunn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003811 CA Practitioner - Clinical Social Worker 9133558109 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21835CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc Clinical CurrentSince Feb 16, 2020 Accepting new patients
Center for New Directions, Inc. CurrentSince Feb 16, 2020 Accepting new patients
South Coast Children'S Society, Inc Past Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

7177 Brockton Ave
Ste 111
Riverside, CA 92506
Phone (949) 460-5322

1100 Melody Ln
Ste 108
Roseville, CA 95678

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1801901442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27261 LAS RAMBLAS STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916472",
            "telephone_number": "909-980-6700",
            "fax_number": "909-557-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 HAVEN AVE STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305839",
            "telephone_number": "909-980-6700",
            "fax_number": "909-557-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 S Harbor Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047915",
            "country_code": "US",
            "telephone_number": "909-980-6700",
            "fax_number": "909-980-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ERIKA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "GUNN",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.