Active NPI
Betty Peeples Wheeler, LCSW
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1861884165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW61941
- Practice address
- 11361 Broken Branch Dr
Rancho Cucamonga, CA 91701-9287 - Phone
- (909) 228-0217
- NPI assigned
- Feb 23, 2015
- Last updated
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW61941 | CA | MD | Clinical 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.