Active NPI
Carlos Antonio Alcantara Jr., PHD, LCSW, PPSC
- Clinical Social Worker
- Orange, CA
National Provider Identifier
1154584365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26821
- Practice address
- 594 N Glassell St
Orange, CA 92867-6748 - Phone
- (714) 462-3447
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- 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 | 26821 | CA | Primary |
Addresses
Primary practice location
594 N Glassell St
Orange, CA 92867-6748
Mailing address
594 N Glassell St
Orange, CA 92867-6748
Phone (147) 462-3447
Other practice location 1
120 Birmingham Dr Ste 120
Cardiff, CA 92007-1757
Phone (714) 253-6719
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26821 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1154584365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676748",
"telephone_number": "147-462-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676748",
"telephone_number": "714-462-3447"
}
],
"practiceLocations": [
{
"address_1": "120 Birmingham Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Cardiff",
"state": "CA",
"postal_code": "920071757",
"country_code": "US",
"telephone_number": "714-253-6719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALCANTARA",
"first_name": "CARLOS",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHD, LCSW, PPSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.