Active NPI
Luz Elena Guevara-Duron, MSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1104011790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW100550
- Practice address
- 1605 Eastlake Ave
Los Angeles, CA 90033-1009 - Phone
- (562) 484-1390
- NPI assigned
- Sep 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | ASW100550 | CA | Primary |
Addresses
Primary practice location
1605 Eastlake Ave
Los Angeles, CA 90033-1009
Mailing address
14417 Gridley Rd
Norwalk, CA 90650-4706
Phone (562) 484-1390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | CA | 00 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lguevaraduron@dmh.lacounty.gov | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW100550 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644105600000",
"number": "1104011790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14417 GRIDLEY RD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504706",
"telephone_number": "562-484-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 EASTLAKE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331009",
"telephone_number": "562-484-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA-DURON",
"first_name": "LUZ",
"middle_name": "ELENA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW100550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00",
"identifier": "00",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lguevaraduron@dmh.lacounty.gov",
"affiliation": "N",
"endpointDescription": "County email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1605 Eastlake Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900331009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.