Individual provider Active NPI

Breeyanna Cheyenne Morales, ASW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1922647924
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW91613 Issued in CA
Practice address
4000 Orange St
Riverside, CA 92501-3613
Phone
(951) 955-4500
NPI assigned
Dec 23, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 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

IdentifierTypeStateIssuer
244912MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003002952 CA Practitioner - Clinical Social Worker 9436655834 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ASW91613CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Talk Therapy Center Clinical CurrentSince Sep 19, 2025 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.

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

Verify at the official NPI Registry.