Individual provider Active NPI

Allyson Jennifer Torres, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1003429614
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-94666 Issued in CA
Practice address
1156 W Escalon Ave
Fresno, CA 93711-2017
Phone
(559) 210-4525
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-94666 CA Primary

Addresses

Primary practice location

1156 W Escalon Ave
Fresno, CA 93711-2017

Mailing address

PO Box 14022
Pinedale, CA 93650-4022
Phone (559) 210-4525

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL allysontorres11@yahoo.com Other

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

LicenseStateTypeSpecialty
LCSW-94666CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simply MH Licensed Clinical Social Worker Corporation Clinical CurrentSince Jan 14, 2024 Accepting new patients

Locations

1563 W Shaw Ave
Fresno, CA 93711
Phone (559) 777-9668

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1003429614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14022",
            "city": "PINEDALE",
            "state": "CA",
            "postal_code": "936504022",
            "telephone_number": "559-210-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W ESCALON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112017",
            "telephone_number": "559-210-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ALLYSON",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW-94666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "allysontorres11@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "for communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication",
            "address_1": "1156 W Escalon Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937112017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.