Individual provider Active NPI

Patricia Alba, LCSW

  • Clinical Social Worker
  • Panorama City, CA
National Provider Identifier
1124205885
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26224 Issued in CA
Practice address
14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194
Phone
(818) 835-3459
Fax
(818) 935-6189
NPI assigned
Jan 24, 2008
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 26224 CA Primary

Addresses

Primary practice location

14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194

Mailing address

5831 Natick Ave
Sherman Oaks, CA 91411-3110
Phone (818) 406-8543

Other practice location 1

1206 W Avenue J Ste 200B
Lancaster, CA 93534-2955
Phone (818) 741-2906

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
I20200114000533 CA Practitioner - Clinical Social Worker 7315372729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14500 Roscoe Blvd
Suite 400
Panorama City, CA 91402-4194
Phone (818) 741-2906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alba Wellness Group, a Licensed Clinical Social Worker Corporation Clinical CurrentSince Apr 12, 2023 Accepting new patients

Locations

1206 W Avenue J
Ste 200B
Lancaster, CA 93534
Phone (800) 764-8981

14500 Roscoe Blvd
Ste 400
Van Nuys, CA 91402
Phone (800) 764-8981

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1124205885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 NATICK AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113110",
            "telephone_number": "818-406-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 400",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "818-835-3459",
            "fax_number": "818-935-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W Avenue J Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342955",
            "country_code": "US",
            "telephone_number": "818-741-2906",
            "fax_number": "844-440-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBA",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.