Active NPI
George Caballero, MSW, LCSW
- Clinical Social Worker
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS11522
- Practice address
- 111 W Beverly Blvd
Suite 209
Montebello, CA 90640-4312 - Phone
- (323) 255-9421
- Fax
- (323) 344-9084
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS11522 | CA | Primary |
Addresses
Primary practice location
111 W Beverly Blvd
Suite 209
Montebello, CA 90640-4312
Mailing address
P.O. Box 411141
Los Angeles, CA 90041
Phone (323) 255-9421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS 11522 | Other | CA | LICENSED SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11522 | CA | MD | Clinical Psychologist |
| LCS11522 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Caballero, LCSW Inc | Clinical | Current | Accepting new patients |
| Sud Specialty Group - Ca | Clinical | Current | Accepting new patients |
Locations
1611 Paramount Blvd
Montebello, CA 90640
Phone (323) 255-9421
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Montebello, CA
- NPI 1578639415
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Clinical
-
- Community/Behavioral Health Agency
- Montebello, CA
- NPI 1326116211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053413351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 411141",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90041",
"telephone_number": "323-255-9421",
"fax_number": "323-344-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W BEVERLY BLVD",
"address_2": "SUITE 209",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404312",
"telephone_number": "323-255-9421",
"fax_number": "323-344-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "GEORGE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS11522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "LCS 11522",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Trinh Bui, DDS
- Ma. Katrina Solamillo Bulagao, RN
- Aimee A Burdick, P.T.
- Violkys Bustamante, PA-C
- C.N. Health, Inc. (Montebello Pharmacy and Medical Supplies)
- Elita Cabrera
- Califorina Hispanic Commission on Alcohol and Drug Abuse (Latino Family Center)
- California Emergency Physician Medical Group
- California Hispanic Commission on Alcohol and Drug Abuse
- Gayle Marie Callaghan, ATR-BC, LMFT, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.