Active NPI
Gloria Avrech, LCSW, PH.D.
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1174552400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 5016
- Practice address
- 130 S Euclid Ave
#6
Pasadena, CA 91101-2446 - Phone
- (626) 792-9483
- NPI assigned
- Jun 30, 2006
- 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 | LCS 5016 | CA | Primary |
Addresses
Primary practice location
130 S Euclid Ave
#6
Pasadena, CA 91101-2446
Mailing address
130 S Euclid Ave
#6
Pasadena, CA 91101-2446
Phone (626) 792-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 5016 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174552400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S EUCLID AVE",
"address_2": "#6",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012446",
"telephone_number": "626-792-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S EUCLID AVE",
"address_2": "#6",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012446",
"telephone_number": "626-792-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVRECH",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 5016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.