LILIANA M PONCE (LCSW) – Behavior Analyst, NPI 1043511843

LILIANA M PONCE (LCSW) is a healthcare provider. based in N las vegas, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 112415 (CA). The NPI Number for LILIANA M PONCE (LCSW) is 1043511843

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LILIANA M PONCE (LCSW)
NPI
1043511843
Phone
(310) 795-1294
Address
5909 GOLD HORIZON ST
Enumeration Date
10 November 2010
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7307366700
Graduation Year
2019 (7 years ago)
PAC ID
4880131606
Group Practice PAC ID
2769390939
Professional Enrollment ID
I20240730000459
Address ID
CA925714748PE1675XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

Provider Addresses for LILIANA M PONCE (LCSW)

  • 5909 GOLD HORIZON ST

    N LAS VEGAS, NV 890316882

    Phone: (310) 795-1294

    Type: Mailing

  • 3281 E Guasti Rd Ste 440

    Ontario, CA 917617635

    Phone: (909) 323-7100

    Type: Location

  • 1637 E VALLEY PKWY STE 360

    ESCONDIDO, CA 920272408

    Phone:

    Type: Mailing

  • 150 VALPREDA RD

    SAN MARCOS, CA 920692973

    Phone: (760) 736-6780

    Type: Location

  • 737 RED ALDER PL

    ESCONDIDO, CA 920271886

    Phone: (702) 232-1445

    Type: Mailing

  • 2351 CARDINAL LN

    SAN DIEGO, CA 921233743

    Phone: (858) 573-2227

    Fax: (858) 496-2113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240730000459IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769390939View full group profile
NameSpecialtyState
Physician AssistantCA
Addiction Medicine, PsychiatryCA
Physician AssistantCA
Clinical PsychologistCA
Family PracticeCA
Family PracticeCA
Family PracticeCA
Internal MedicineCA
Family PracticeCA
Physician AssistantCA

Reviews

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Frequently asked questions

What identifier follows LILIANA M PONCE (LCSW) across health systems?
The NPI 1043511843 uniquely identifies LILIANA M PONCE (LCSW) in U.S. healthcare data.
Is LILIANA M PONCE (LCSW)'s NPI status active today?
Active status means LILIANA M PONCE (LCSW)'s NPI record is not deactivated in the public file.
How should patients interpret LILIANA M PONCE (LCSW)'s specialty?
The extract shows Behavior Analyst for LILIANA M PONCE (LCSW). Clinical services aligned with this taxonomy classification.
What city is tied to LILIANA M PONCE (LCSW)?
The directory associates LILIANA M PONCE (LCSW) with N Las Vegas, Nevada. Check all listed addresses for suites or satellite offices.
Why is information missing for LILIANA M PONCE (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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