Individual provider Active NPI

Annette M. Sabater, LCSW

  • Clinical Social Worker
  • Upland, CA
National Provider Identifier
1902085772
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 13448 Issued in CA
Practice address
288 W 9TH St
Upland, CA 91786-5949
Phone
(909) 981-0270
Fax
(909) 981-3585
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 LCS 13448 CA Primary

Addresses

Primary practice location

288 W 9TH St
Upland, CA 91786-5949

Mailing address

288 W 9TH St
Upland, CA 91786-5949
Phone (909) 981-0270

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
I20241011003741 CA Practitioner - Clinical Social Worker 6002348273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosewood Counseling Center IncGroup PAC ID 8426597303, 6 clinicians

Practice addresses (Care Compare)

288 W 9TH St
Upland, CA 91786-5949
Phone (909) 981-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 13448CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Counseling Center, Inc. Clinical CurrentSince Oct 5, 2024 Accepting new patients

Locations

288 W 9th St
Upland, CA 91786
Phone (909) 981-0270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1902085772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865949",
            "telephone_number": "909-981-0270",
            "fax_number": "909-981-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865949",
            "telephone_number": "909-981-0270",
            "fax_number": "909-981-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATER",
        "first_name": "ANNETTE",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.