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

James Brock, ASW

Individual provider Mental Health Counselor · NPI 1871133660

James Brock, ASW is a Clinical Social Worker in San Bernardino, California. Qualified in 2021, 5 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1881 Business Center Dr Ste 10A
San Bernardino, CA 92408-3438
Phone: (909) 890-2381
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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 · Licence 126881 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence 102774 (CA)

Record details

NPI number1871133660
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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