Yadira Haydee Enriquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70115 Issued in CA

Practice address

2716 N Broadway Ste 205
Los Angeles, CA 90031-2635

Phone

(323) 285-0290

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evolution Counseling Services

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1003454760
  NPD Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1043670649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 N BROADWAY STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312635",
            "telephone_number": "323-285-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 N BROADWAY STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312635",
            "telephone_number": "323-285-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "YADIRA",
        "middle_name": "HAYDEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2716 N Broadway Ste 205",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900312635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Marie Canlas Enriquez, COTA/L
• Ramon Enriquez, BA
• Raquel Franco Enriquez, M.D.
• Raymundo Enriquez
• Sandra Enriquez
• Mary Elizabeth Ensign, D.C.
• Enso Family Therapy Inc
• Lewis A. Enstedt, D.D.S.
• ENT Surgical Specialists Inc.
• Daniel H Enter, M.D.

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.