CORNERSTONE LICENSED CLINICAL SOCIAL WORKER, INC.
NPI 1265305759
Counselor - Professional in Sacramento, CA
About Cornerstone Licensed Clinical Social Worker, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE LICENSED CLINICAL SOCIAL WORKER, INC. (NPI 1265305759) is a healthcare organization registered as a professional in Sacramento, California and active in the NPI registry since September 2025. The organization lists Tatiana Starr Daniels, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cornerstone Licensed Clinical Social Worker, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cornerstone Licensed Clinical Social Worker, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cornerstone Licensed Clinical Social Worker, Inc.'s NPI number?
The NPI number for Cornerstone Licensed Clinical Social Worker, Inc. is 1265305759. It was assigned to this organization in the NPPES registry on September 29, 2025.
Where is Cornerstone Licensed Clinical Social Worker, Inc. located?
Cornerstone Licensed Clinical Social Worker, Inc. is located at 3810 Broadway, Sacramento, CA 95817. The listed phone number is (916) 204-1447.
What is Cornerstone Licensed Clinical Social Worker, Inc.'s specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Cornerstone Licensed Clinical Social Worker, Inc. enrolled in Medicare?
Yes. Cornerstone Licensed Clinical Social Worker, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Licensed Clinical Social Worker, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cornerstone Licensed Clinical Social Worker, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cornerstone Licensed Clinical Social Worker, Inc. was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Cornerstone Licensed Clinical Social Worker, Inc. · NPI 1265305759
Professional organization in Sacramento, California. Organization record, active in the CMS NPPES registry since September 29, 2025.
## Identity
- **NPI:** 1265305759 (Entity type: Organization)
- **Enumerated:** September 29, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tatiana Daniels, OWNER
## Practice location
- **Address:** 3810 BROADWAY, Sacramento, CA 95817-3302
- **Phone:** (916) 204-1447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265305759) · Data from the CMS NPPES public registry.