Active NPI
Ana Yesenia Lainez, LCSW
- Clinical Social Worker
- Palmdale, CA
National Provider Identifier
1003326083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102618
- Practice address
- 38010 Periwinkle PL
Palmdale, CA 93550-8106 - Phone
- (510) 759-3144
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Clinical Social Worker | 1041C0700X | ASW79475 | CA | |
| Clinical Social Worker | 1041C0700X | 102618 | CA | Primary |
Addresses
Primary practice location
38010 Periwinkle PL
Palmdale, CA 93550-8106
Mailing address
38010 Periwinkle PL
Palmdale, CA 93550-8106
Phone (510) 759-3144
Other practice location 1
4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone (818) 657-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW79475 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1003326083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38010 PERIWINKLE PL",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935508106",
"telephone_number": "510-759-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38010 PERIWINKLE PL",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935508106",
"telephone_number": "510-759-3144"
}
],
"practiceLocations": [
{
"address_1": "4900 Serrania Ave",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913643301",
"country_code": "US",
"telephone_number": "818-657-3130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAINEZ",
"first_name": "ANA",
"middle_name": "YESENIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2023-11-01",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW79475",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "102618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.