Active NPI
Fatima Opina Agregado, L.C.S.W.
- Clinical Social Worker
- Arcadia, CA
National Provider Identifier
1083700892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 23171
- Practice address
- 330 E Live Oak Ave
Arcadia, CA 91006-5617 - Phone
- (626) 254-2400
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 1, 2021
- Sex
- Female
- 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 | LCS 23171 | CA | Primary |
Addresses
Primary practice location
330 E Live Oak Ave
Arcadia, CA 91006-5617
Mailing address
330 E Live Oak Ave
Arcadia, CA 91006-5617
Phone (626) 254-2400
Other practice location 1
5321 Via Marisol
Los Angeles, CA 90042-4883
Phone (323) 478-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 23171 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1083700892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065617",
"telephone_number": "626-254-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065617",
"telephone_number": "626-254-2400"
}
],
"practiceLocations": [
{
"address_1": "5321 Via Marisol",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900424883",
"country_code": "US",
"telephone_number": "323-478-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGREGADO",
"first_name": "FATIMA",
"middle_name": "OPINA",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 23171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.