Individual provider Active NPI

Oscar Torres Jr., LCSW

  • Clinical Social Worker
  • Soquel, CA
National Provider Identifier
1083157481
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW26024 Issued in CA
Practice address
2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone
(831) 423-9444
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW26024 CA Primary

Addresses

Primary practice location

2901 Park Ave Ste A3
Soquel, CA 95073-2831

Mailing address

104 Walnut Ave
Suite 208
Santa Cruz, CA 95060-3900
Phone (831) 423-9444

Other practice location 1

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201000425 CA Practitioner - Clinical Social Worker 2466734256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service Agency of the Central CoastGroup PAC ID 1052213527, 9 clinicians

Practice addresses (Care Compare)

104 Walnut Ave
Suite 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26024CAMDPsychologist
LCSW26024CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast CurrentSince Dec 25, 2016 Accepting new patients

Locations

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532

104 Walnut Ave
Ste 212
Santa Cruz, CA 95060
Phone (408) 423-9444

2901 Park Ave
Ste A3
Soquel, CA 95073
Phone (831) 346-6767

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1083157481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE",
            "address_2": "SUITE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603900",
            "telephone_number": "831-423-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PARK AVE STE A3",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732831",
            "telephone_number": "831-423-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Walnut Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603929",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "OSCAR",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW26024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.