Active NPI
Rocio Limon Graciano, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1114022852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 20871
- Practice address
- 4765 E 4TH St
RM 720
Los Angeles, CA 90022-1846 - Phone
- (323) 266-7421
- NPI assigned
- Sep 14, 2006
- 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 20871 | CA | Primary |
Addresses
Primary practice location
4765 E 4TH St
RM 720
Los Angeles, CA 90022-1846
Mailing address
2420 Fidelidad Dr
Hacienda Heights, CA 91745-4809
Phone (626) 590-7661
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 20871 | CA | MD | Clinical Social Worker |
| 20871 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1114022852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 FIDELIDAD DR",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917454809",
"telephone_number": "626-590-7661",
"fax_number": "626-369-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4765 E 4TH ST",
"address_2": "RM 720",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221846",
"telephone_number": "323-266-7421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIANO",
"first_name": "ROCIO",
"middle_name": "LIMON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.