Ged Counseling Licensed Clinical Social Worker Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GED COUNSELING LICENSED CLINICAL SOCIAL WORKER INC

Practice address

1401 Fair Oaks Ave
South Pasadena, CA 91030-6204

Phone

(626) 818-7401

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Greta Durelli, LCSWNPI 1114437498

Title

Owner

Phone

(626) 644-1921

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greta R Durelli, LCSW

  • Clinical Social Worker
  • Sierra Madre, CA
  • NPI 1114437498
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1083435713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910306204",
            "telephone_number": "626-818-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910306204",
            "telephone_number": "626-818-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GED COUNSELING LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "DURELLI",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-644-1921",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Jo Garcia, LCSW
• Vincent Garcia
• Gigi Gardoce, APCC
• Olivia Anne Garland, DC
• Maria Gavaldon
• Howard M Gellerman
• Jason Qiusheng Geng, OMD
• Ethan George Gerendas
• Thomas Jefferson Gernon, MD
• Lev Gertsik, M.D.

• Social Worker in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.