Active NPI
Holly Louise Anguiano, LCSW
- Clinical Social Worker
- La Jolla, CA
National Provider Identifier
1144557307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9300 Campus Point Dr # 7376
La Jolla, CA 92037-1300 - Phone
- (858) 657-7198
- NPI assigned
- Nov 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC60108486 | WA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9300 Campus Point Dr # 7376
La Jolla, CA 92037-1300
Mailing address
9300 Campus Point Dr # 7376
La Jolla, CA 92037-1300
Phone (858) 657-7198
Other practice location 1
3020 Children's Way MC5100
San Diego, CA 92123
Phone (858) 966-1700
Other names 1
- Holly Louise Hernandez
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 |
|---|---|---|---|
| SC60108486 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Tree Psychology Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Los Angeles, CA
- NPI 1699118646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1144557307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR # 7376",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR # 7376",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7198"
}
],
"practiceLocations": [
{
"address_1": "3020 Children's Way MC5100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92123",
"country_code": "US",
"telephone_number": "858-966-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGUIANO",
"first_name": "HOLLY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC60108486",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "HERNANDEZ",
"middle_name": "LOUISE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.