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THERABLOSSOM LICENSED CLINICAL SOCIAL WORKER, PC
NPI 1518823921
Social Worker - Clinical in San Bernardino, CA

Active since December 30, 2025
473 E CARNEGIE DR, SUITE 200, SAN BERNARDINO, CA 92408(909) 255-0230 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Dec 30, 2025 (2 updates tracked since 2025).

About Therablossom Licensed Clinical Social Worker, Pc NPPES

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

THERABLOSSOM LICENSED CLINICAL SOCIAL WORKER, PC (NPI 1518823921) is a healthcare organization registered as a clinical in San Bernardino, California and active in the NPI registry since December 2025. The organization lists Chase Vincent Uribe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518823921
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHERABLOSSOM LICENSED CLINICAL SOCIAL WORKER, PC
Location Address473 E CARNEGIE DR, SUITE 200San Bernardino, CA 92408
Mailing Address473 E Carnegie Dr, Suite 200San Bernardino, CA 92408 · (909) 255-0230
Phone(909) 255-0230
Organization SubpartNo
Authorized OfficialChase Vincent UribeCeo · (909) 206-2940
Enumeration DateDecember 30, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1518823921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
473 E CARNEGIE DR, San Bernardino, CA 92408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therablossom Licensed Clinical Social Worker, Pc 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 Therablossom Licensed Clinical Social Worker, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chase Uribe
Clinical Social Worker
NPI 1851013460
6840 INDIANA AVE STE 275
Riverside, CA 92506
(951) 778-0230
✔ PECOS11 mi

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 Therablossom Licensed Clinical Social Worker, PC's NPI number?

The NPI number for Therablossom Licensed Clinical Social Worker, PC is 1518823921. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Therablossom Licensed Clinical Social Worker, PC located?

Therablossom Licensed Clinical Social Worker, PC is located at 473 E Carnegie Dr Suite 200, San Bernardino, CA 92408. The listed phone number is (909) 255-0230.

What is Therablossom Licensed Clinical Social Worker, PC's specialty?

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

Is Therablossom Licensed Clinical Social Worker, PC enrolled in Medicare?

Yes. Therablossom Licensed Clinical Social Worker, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Therablossom Licensed Clinical Social Worker, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Therablossom Licensed Clinical Social Worker, PC. 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 Therablossom Licensed Clinical Social Worker, PC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.