Central Counseling Services Licensed Clinical Social Worker Inc
NPI 1043704331ActiveOrganization· Social Worker, Clinical· Riverside, CA
Social Worker, Clinical in Riverside, California, registered in NPPES in June 2018, part of Central Counseling Services Inc. The authorized official on file is Sheralyn L. Shockey-Pope, LMFT, Chief Operation Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043704331 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Central Counseling Services Inc |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 26872 | CA |
| Marriage & Family Therapist | 106H00000X | 37209 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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