Ajita Gupta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW79759 Issued in CA

Practice address

20721 Lemarsh St Unit E
Chatsworth, CA 91311-7385

Phone

(916) 400-0633

NPI assigned

Aug 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ac and CS

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1659794246
  NPD (past)

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1073093142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3663",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913133663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20721 LEMARSH ST UNIT E",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913117385",
            "telephone_number": "916-400-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AJITA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Hippa Compliant EHR",
            "address_1": "345 S Alexandria Ave Apt 307",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900202690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myndheal.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Portal",
            "address_1": "20721 Lemarsh St Unit E",
            "city": "Chatsworth",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913117385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanna Guardado
• Ashley Gubicza
• Cynthia Guerra, M.A.
• Hilda Maria Guerrero
• Natalie Izabel Guijarro, MASTERS OF SCIENCE
• Lorena Gutierrez
• Christopher Guzman
• H & a Hospice Inc.
• Imad Ibrahim Haddad, D.P.M.
• Ryland Hamlet, RN

• Clinical Social Worker in Chatsworth, CA
• Providers in Chatsworth, 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 23, 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.

Verify at the official NPI Registry.