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COURTNEY HALL ACSW
NPI 1659104859
Social Worker in Rancho Cucamonga, CA

Active since August 22, 2024PECOS Enrolled
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730(909) 281-5800 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courtney Hall Acsw NPPES

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

COURTNEY HALL ACSW (NPI 1659104859) is an individual social worker in Rancho Cucamonga, California, licensed in California (122010) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1659104859
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCOURTNEY HALLCredential: ACSW
Location Address9089 BASE LINE RD STE 200Rancho Cucamonga, CA 91730-1295
Mailing Address3100 Van Buren Blvd Apt 518Riverside, CA 92503-5678 · (301) 806-2505
Phone(909) 281-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1659104859 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 · 122010
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.
9089 BASE LINE RD STE 200, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Hall Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971085671
PECOS Enrollment IDI20260303002038
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.

Other Providers at the Same Location NPPES 2

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

MARTHA NANETTE BOOCHIE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9089 BASE LINE RD STE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
HEALTH SERVICE ALLIANCE
Psychologist
9089 BASE LINE RD STE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567

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 Courtney Hall's NPI number?

The NPI number for Courtney Hall is 1659104859. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Courtney Hall located?

Courtney Hall practices at 9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730. The listed phone number is (909) 281-5800.

What is Courtney Hall's specialty?

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

Is Courtney Hall enrolled in Medicare?

Yes. Courtney Hall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Hall was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.