Active NPI
Claudia Carina Ibal Vera
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1033682174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104417
- Practice address
- 7120 N Marks Ave
Fresno, CA 93711-0268 - Phone
- (559) 283-9763
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104417 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 85887 | CA |
Addresses
Primary practice location
7120 N Marks Ave
Fresno, CA 93711-0268
Mailing address
14160 W B St
Kerman, CA 93630-1986
Phone (559) 696-2765
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104417 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1033682174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14160 W B ST",
"city": "KERMAN",
"state": "CA",
"postal_code": "936301986",
"telephone_number": "559-696-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 N MARKS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110268",
"telephone_number": "559-283-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBAL VERA",
"first_name": "CLAUDIA",
"middle_name": "CARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "104417",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "85887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.