Individual provider Active NPI

Jennifer Nicole Soto, MSW

  • Clinical Social Worker
  • Ontario, CA
National Provider Identifier
1952021768
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128111 Issued in CA
Practice address
2890 Inland Empire Blvd Ste 100
Ontario, CA 91764-4649
Phone
(909) 233-7265
NPI assigned
Aug 31, 2022
Last updated
Mar 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW108424 CA
Social Worker 104100000X ASW108424 CA
Clinical Social Worker 1041C0700X 128111 CA Primary

Addresses

Primary practice location

2890 Inland Empire Blvd Ste 100
Ontario, CA 91764-4649

Mailing address

2890 Inland Empire Blvd Ste 100
Ontario, CA 91764-4649
Phone (909) 233-7265

Other names 1

  • Jennifer Nicole Celles-Ramos Former name

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
I20260318000655 CA Practitioner - Clinical Social Worker 5092299172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 S G St
San Bernardino, CA 92410-3320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW108424CAMDMental Health Counselor
128111CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Bridges Foster Family Agency CurrentSince Sep 4, 2022 Accepting new patients
Building Bridges Foster Family Agency CurrentSince Sep 4, 2022 Accepting new patients
Sac Health System CurrentSince Feb 18, 2026 Accepting new patients
Sac Health System CurrentSince Feb 18, 2026 Accepting new patients

Locations

2890 Inland Empire Blvd
Ste 100
Ontario, CA 91764
Phone (909) 233-7265

Organizations & group practices 5

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1952021768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 INLAND EMPIRE BLVD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644649",
            "telephone_number": "909-233-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 INLAND EMPIRE BLVD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644649",
            "telephone_number": "909-233-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW108424",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW108424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CELLES-RAMOS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.