NPIMap

Individual provider Active NPI

Victoria Lee Weber, ACSW

  • Clinical Social Worker
  • Stanton, CA
National Provider Identifier
1821639030
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91359 Issued in CA
Practice address
10936 Dale Ave
Stanton, CA 90680-2724
Phone
(714) 952-4032
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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 91359 CA Primary

Addresses

Primary practice location

10936 Dale Ave
Stanton, CA 90680-2724

Mailing address

10936 Dale Ave
Stanton, CA 90680-2724
Phone (714) 952-4032

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://rct11252.kipuworks.com/users/sign_in Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
91359CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodglen West Detox PastSince Oct 1, 2019 Accepting new patients
Roque Center, Inc PastSince Dec 9, 2019 Accepting new patients
Woodglen Recovery Junction Incorporated PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1821639030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10936 DALE AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802724",
            "telephone_number": "714-952-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10936 DALE AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802724",
            "telephone_number": "714-952-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rct11252.kipuworks.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "Kipu",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web Format",
            "address_1": "10936 Dale Ave",
            "city": "Stanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906802724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.