Active NPI
Veterans Supplemental Support Network
- Social Worker
- Temecula, CA
National Provider Identifier
1922838515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- VETERANS SUPPLEMENTAL SUPPORT NETWORK
- Practice address
- 41593 Winchester Rd
Ste 200
Temecula, CA 92590-4857 - Phone
- (414) 577-9877
- NPI assigned
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Daisy B Tate
- Title
- Board Chair
- Phone
- (415) 779-8776
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Health Psychologist | 103TH0004X | |||
| Prescribing (Medical) Psychologist | 103TP0016X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
41593 Winchester Rd
Ste 200
Temecula, CA 92590-4857
Mailing address
41593 Winchester Rd Ste 200
Temecula, CA 92590-4857
Phone (415) 779-8776
Other names 1
- VSSN
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1922838515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41593 WINCHESTER RD STE 200",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904857",
"telephone_number": "415-779-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41593 WINCHESTER RD",
"address_2": "STE 200",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904857",
"telephone_number": "414-577-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS SUPPLEMENTAL SUPPORT NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-07-28",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "DAISY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BOARD CHAIR",
"authorized_official_telephone_number": "415-779-8776",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VSSN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.