MS. STEPHANIE HERNANDEZ ENCISO LCSW
NPI 1093294753
Social Worker - Clinical in Pomona, CA
About Ms. Stephanie Hernandez Enciso Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STEPHANIE HERNANDEZ ENCISO LCSW (NPI 1093294753) is an individual clinical provider in Pomona, California, licensed in California (123318) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Stephanie Hernandez Enciso Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Enciso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pomona, CA 91767
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Enciso's NPI number?
The NPI number for Stephanie Enciso is 1093294753. It was assigned to this individual provider in the NPPES registry on August 13, 2018.
Where is Stephanie Enciso located?
Stephanie Enciso practices at 1900 Royalty Dr Ste 180, Pomona, CA 91767. The listed phone number is (909) 766-7340.
What is Stephanie Enciso's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stephanie Enciso enrolled in Medicare?
Yes. Stephanie Enciso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephanie Enciso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Enciso reassigns Medicare benefits to Tri-City Mental Health Authority (Pomona, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Enciso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Enciso was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Stephanie Hernandez Enciso, LCSW · NPI 1093294753
Clinical provider in Pomona, California. Individual provider, active in the CMS NPPES registry since August 13, 2018.
## Identity
- **NPI:** 1093294753 (Entity type: Individual)
- **Enumerated:** August 13, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 123318 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1900 ROYALTY DR STE 180, Pomona, CA 91767-3046
- **Phone:** (909) 766-7340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tri-City Mental Health Authority (NPI 1346304920, Pomona, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093294753) · Data from the CMS NPPES public registry.