Individual provider Active NPI

Alexes Marie Togiai Ciardi

  • Clinical Social Worker
  • Canoga Park, CA
National Provider Identifier
1023634748
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117115 Issued in CA
Practice address
21035 Bryant St Apt 4
Canoga Park, CA 91304-2830
Phone
(661) 855-6075
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 117115 CA Primary

Addresses

Primary practice location

21035 Bryant St Apt 4
Canoga Park, CA 91304-2830

Mailing address

21305 Bryant Street
Apt 4
Canoga Park, CA 91304
Phone (661) 855-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117115CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Clinical CurrentSince Jun 11, 2024 Accepting new patients

Locations

11845 W Olympic Blvd
Ste 1050W
Los Angeles, CA 90064
Phone (424) 330-2217

1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1023634748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21305 BRYANT STREET",
            "address_2": "APT 4",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91304",
            "telephone_number": "661-855-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21035 BRYANT ST APT 4",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042830",
            "telephone_number": "661-855-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGIAI CIARDI",
        "first_name": "ALEXES",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.