BERENISE LEMUS BALGUMA LCSW
NPI 1366676165
Social Worker - Clinical in Orange, CA

Active since May 07, 2009PECOS Enrolled
200 N LEWIS ST, ORANGE, CA 92868(714) 748-2753 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Jun 13, 2017 (2 updates tracked since 2017).

About Berenise Lemus Balguma Lcsw NPPES

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

BERENISE LEMUS BALGUMA LCSW (NPI 1366676165) is an individual clinical provider in Orange, California, licensed in California (LCSW 24994) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366676165
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBERENISE LEMUS BALGUMACredential: LCSW
Location Address200 N LEWIS STOrange, CA 92868-1538
Mailing Address100 FireflyIrvine, CA 92618-8886
Sole ProprietorNo
Enumeration DateMay 7, 2009
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPI 1366676165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW 24994
Definition
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.
200 N LEWIS ST, Orange, CA 92868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Berenise Lemus Balguma Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
200 N LEWIS ST
ORANGE, CA 92868
Health Educator
200 N LEWIS ST
ORANGE, CA 92868
Dietitian, Registered
200 N LEWIS ST
ORANGE, CA 92868
Behavior Technician
200 N LEWIS ST
ORANGE, CA 92868
Orthopaedic Surgery
200 N LEWIS ST
ORANGE, CA 92868
Dietitian, Registered
200 N LEWIS ST
ORANGE, CA 92868
Registered Nurse
200 N LEWIS ST
ORANGE, CA 92868
Clinic/Center (Health Service)
200 N LEWIS ST, CENTER FOR HEALTHY LIVING
ORANGE, CA 92868

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 Berenise Balguma's NPI number?

The NPI number for Berenise Balguma is 1366676165. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Berenise Balguma located?

Berenise Balguma practices at 200 N Lewis St, Orange, CA 92868. The listed phone number is (714) 748-2753.

What is Berenise Balguma's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Berenise Balguma enrolled in Medicare?

Yes. Berenise Balguma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Berenise Balguma was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.