Jennifer Nicole Ray

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

98398 Issued in CA

Practice address

3625 14TH St
Riverside, CA 92501-3815

Phone

(909) 528-1771

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Inlandpsych Redlands Inc

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1053575738
  NPD
• Inlandpsych Redlands Inc

  • Psychiatry Physician
  • Beaumont, CA
  • NPI 1649589219
  NPD
• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990
  NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1811379506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013815",
            "telephone_number": "909-528-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013815",
            "telephone_number": "909-528-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rattner Vascular Medical Center ASC LLC
• Josephine Tan Rausa, P.T.
• Valerie D Rausch, LCSW
• Marc Ravena
• Anthony Ray Ray Vargas
• Ltanya G Ray
• Racheya C Ray
• Rian Marie Raya Marquez
• Kelly Diane Raya, ASW
• Michelle Berenice Raya

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, 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 Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.