Active NPI
Breeyanna Cheyenne Morales, ASW
- Clinical Social Worker
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW91613
- Practice address
- 4000 Orange St
Riverside, CA 92501-3613 - Phone
- (951) 955-4500
- NPI assigned
- Dec 23, 2019
- Last updated
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | ASW91613 | CA | Primary |
Addresses
Primary practice location
4000 Orange St
Riverside, CA 92501-3613
Mailing address
4000 Orange St
Riverside, CA 92501-3613
Phone (951) 955-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244912 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Socialworker | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1031 S Palmetto Ave
Apt U3
Ontario, CA 91762-6872
2730 Wrangler Cir
Corona, CA 92882-6809
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW91613 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Talk Therapy Center | Clinical | Current | Accepting new patients |
Locations
19322 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (951) 387-4040
19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040
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.
-
dba Talk Therapy Center
- Marriage & Family Therapist
- Riverside, CA
- NPI 1174089411
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1922647924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013613",
"telephone_number": "951-955-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013613",
"telephone_number": "951-955-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "BREEYANNA",
"middle_name": "CHEYENNE",
"name_prefix": "Miss",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW91613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244912",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Socialworker",
"affiliation": "N",
"endpointDescription": "Socialworker",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Robert Presley Detention Center",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4000 Orange St",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925013613",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.