Active NPI
Adria E. Navarro, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1124493572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 12628
- Practice address
- 1520 San Pablo St
Suite 1300
Los Angeles, CA 90033-5310 - Phone
- (626) 457-4265
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 | LCSW 12628 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Suite 1300
Los Angeles, CA 90033-5310
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-4265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12628 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| LCSW 12628 | CA | MD | Clinical Social Worker |
| 12628 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1124493572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "626-457-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "SUITE 1300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335310",
"telephone_number": "626-457-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "ADRIA",
"middle_name": "E.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 12628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "12628",
"state": "CA"
}
],
"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 Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.