Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cc Rider, LCSW

Individual provider Clinical Social Worker · NPI 1427306554

Cc Rider, LCSW is a Clinical Social Worker in Sherman Oaks, California. Qualified in 2013, 13 years ago. Practices with Blue Moon Senior Counseling of California LLC, a 79-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

15445 Ventura Blvd 5 37
Sherman Oaks, CA 91403
Phone: (310) 290-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1427306554
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 21, 2012
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blue Moon Senior Counseling Of California Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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