MR. NORBERTO MATA CARLOS (NPI# 1275622672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275622672 |
| Entity Type | Individual |
| Full Name | MR. NORBERTO MATA CARLOS |
| Credential | LCSW |
| Practice Address |
41715 Winchester Rd Temecula CA 92590-4808 |
| Mailing Address |
425 N Date St Escondido CA 92025-3413 |
| Practice Telephone | 9517191414 |
| Mailing Telephone | 7607376960 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS24788 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FACILITY PTAN | ZZZ20041Z | 01 |
| CA | MEDICARE PTAN | FB076Z | 01 |
| CA | FACILITY PTAN | W14158 | 01 |
| Street Address |
41715 WINCHESTER RD |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672545 | Brian Robert Sharp | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2006-05-05 |
| 1598395709 | Dustin Grossheim | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2020-01-16 |
| 1609300250 | Nikole Churchill | Nurse Practitioner | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2017-04-19 |
| 1093267171 | Aliuddin Khaja, Md., Inc | Psychologist | 41715 Winchester Rd, Suite 104, Temecula, CA 92590-4808 | 2016-10-25 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| 1558743906 | Michelle Marie Robert | Nurse Practitioner | 41715 Winchester Rd, Ste 101, Temecula, CA 92590-4808 | 2015-06-22 |
| 1962828863 | Amanda Alviz | Nurse Practitioner | 41715 Winchester Rd, Suite 101, Temecula, CA 92590 | 2014-03-15 |
| 1477897684 | Douglas Ebin Wong | Physician Assistant | 41715 Winchester Rd, Suite 101, Temecula, CA 92590-4808 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813799 | Gina Mendez A Licensed Clinical Social Worker P.C. | Social Worker | 28581 Old Town Front St Ste 201, Temecula, CA 92590-2724 | 2020-02-18 |
| 1548816200 | Maribel Delgado Onstott | Social Worker | 30534 Iron Bark Ct, Temecula, CA 92591-3813 | 2019-08-16 |
| 1154826055 | Denise Frisella | Social Worker | 44701 Calle Hilario, Temecula, CA 92592-1438 | 2018-03-24 |
| 1053829283 | Rebecca Cravens Saville | Social Worker | 44876 Corte Casa, Temecula, CA 92592-1603 | 2018-01-23 |
| 1841731668 | Magnum Opus Management Services | Social Worker | 44065 Margarita Rd Ste 101, Temecula, CA 92592-2741 | 2017-03-13 |
| 1508212994 | Sophia Morelli | Social Worker | 28999 Old Town Front St Ste 101, Temecula, CA 92590-2842 | 2016-05-04 |
| 1306223672 | Roxana V Alas | Social Worker | 28936 Old Town Front St Ste 102, Temecula, CA 92590-2890 | 2015-05-06 |
| 1457768053 | Tricia Poche | Social Worker | 31408 Corte San Leandro, Temecula, CA 92592-6473 | 2014-07-15 |
| 1700217619 | Rancho Counseling Center, Inc | Social Worker | 29645 Rancho California Rd Ste 209, Temecula, CA 92591-5285 | 2013-12-02 |
| 1821423286 | Lillian Nunez | Social Worker | 31555 Rancho Vista Rd, Temecula, CA 92592-3516 | 2013-09-04 |
| Find all providers in TEMECULA | ||||
Please comment or provide details below to improve the information on MR. NORBERTO MATA CARLOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.