Tamara De Angelis Griffin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100232 Issued in CA

Practice address

6055 E Washington Blvd
Suite 900
Commerce, CA 90040-2449

Phone

(323) 346-0960

Fax

(323) 346-0966

NPI assigned

Sep 7, 2016

Reactivated

Aug 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tamara De Angelis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2025 through Jan 31, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1053868059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 E WASHINGTON BLVD",
            "address_2": "SUITE 900",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402449",
            "telephone_number": "323-346-0960",
            "fax_number": "323-346-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 E WASHINGTON BLVD",
            "address_2": "SUITE 900",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402449",
            "telephone_number": "323-346-0960",
            "fax_number": "323-346-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TAMARA",
        "middle_name": "DE ANGELIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-19",
        "deactivation_date": "2021-07-29",
        "reactivation_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100232",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "DE ANGELIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mark Grimes
• Veronik Grimes
• Charito Guerrero, LCSW
• Leticia Guerrero
• Alejandra Guevara

• Clinical Social Worker in Commerce, CA
• Providers in Commerce, 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 May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.