CMS-1500 Box 24J / 33a • NPI
1962980243
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
104100000X
Licensed & Credentialed Social Worker
Box 32 Service Location & ZIP+4
1011 E DEVONSHIRE AVE STE 201, HEMET, CA, 92543-3033
✓ 9-Digit EDI 837 ZIP+4 (92543-3033)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962980243 (DAVID J ADLER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962980243 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAVID J ADLER |
| Plain-English Specialty | Licensed & Credentialed Social Worker NUCC Code: 104100000X (Social Worker) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1011 E DEVONSHIRE AVE STE 201, HEMET, CA, 92543-3033 |
| Practice Telephone / Fax | Tel: (626) 513-1857 |
| Administrative Mailing Address | 22920 SIERRA TRL, CANYON LAKE, CA, 92587-7804 |
| Enumeration & Last Sync | Enumerated: 2018-07-30 | CMS Record Updated: 2025-11-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (104100000X)
What Does Taxonomy Code 104100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAVID J ADLER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: N/A | License: Verified | Primary: Yes (Primary) |
106S00000X — Behavior TechnicianPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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