Individual provider Active NPI

Cirsten Joy Brinson

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1932535812
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99590 Issued in CA
Practice address
506 W Jackman St
Lancaster, CA 93534-2531
Phone
(661) 726-2850
NPI assigned
Sep 23, 2013
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 99590 CA Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

506 W Jackman St
Lancaster, CA 93534-2531

Mailing address

PO Box 8372
Lancaster, CA 93539-8372
Phone (616) 917-3152

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
I20220513001095 CA Practitioner - Clinical Social Worker 0345627394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. CurrentSince Apr 26, 2022 Accepting new patients
Inland Psychiatric Medical Group, Inc CurrentSince Apr 26, 2022 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients

Locations

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1932535812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8372",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935398372",
            "telephone_number": "616-917-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W JACKMAN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342531",
            "telephone_number": "661-726-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "CIRSTEN",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99590",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.