Individual provider Active NPI

Betty Peeples Wheeler, LCSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1861884165
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW61941 Issued in CA
Practice address
11361 Broken Branch Dr
Rancho Cucamonga, CA 91701-9287
Phone
(909) 228-0217
NPI assigned
Feb 23, 2015
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 LCSW61941 CA Primary

Addresses

Primary practice location

11361 Broken Branch Dr
Rancho Cucamonga, CA 91701-9287

Mailing address

11361 Broken Branch Dr
Rancho Cucamonga, CA 91701-9287
Phone (909) 228-0217

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
LCSW61941CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1861884165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 BROKEN BRANCH DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019287",
            "telephone_number": "909-228-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 BROKEN BRANCH DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019287",
            "telephone_number": "909-228-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPLES WHEELER",
        "first_name": "BETTY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW61941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.