STEPHEN BURWELL
NPI 1114639218
Social Worker in San Bernardino, CA

Q: What is Stephen Burwell's NPI number?

The NPI number for Stephen Burwell is 1114639218. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is Stephen Burwell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Burwell was last updated on August 15, 2023. 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.

Active since December 20, 2022PECOS Enrolled

658 E BRIER DR STE 200, SAN BERNARDINO, CA 92408(909) 501-0700(909) 387-7611 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Dec 20, 2022 (2 updates tracked since 2022).

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About Stephen Burwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN BURWELL (NPI 1114639218) is an individual social worker in San Bernardino, California, licensed in California (106802) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ontario, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114639218

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameSTEPHEN BURWELL

Location Address658 E BRIER DR STE 200San Bernardino, CA 92408-2847

Mailing Address658 E Brier Dr Ste 200San Bernardino, CA 92408-2847 · (909) 501-0700 · Fax (909) 387-7611

Phone(909) 501-0700

Fax(909) 387-7611

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 20, 2022

Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1114639218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 106802

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

658 E BRIER DR STE 200, San Bernardino, CA 92408

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Secondary Practice Location 1

Location 12940 Inland Empire BlvdOntario, CA 91764-4898 · Phone (909) 458-1518

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Burwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537654942

PECOS Enrollment IDI20251223002674

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

LAKENYA REESE

Social Worker (Clinical)