Individual provider Active NPI

Tanyna B Sosa-Williams, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1174957518
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW89756 Issued in CA
Practice address
1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865
Phone
(323) 999-2404
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW89756 CA
Clinical Social Worker 1041C0700X LCSW89756 CA Primary

Addresses

Primary practice location

1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865

Mailing address

1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865
Phone (323) 999-2404

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
I20200110001256 CA Practitioner - Clinical Social Worker 2062847593 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW89756CAMDClinical Social Worker
89756CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mellow Medical Inc a Professional Corporation CurrentSince Dec 9, 2019 Accepting new patients
The Roads Foundation, Inc. CurrentSince Jan 2, 2020 Accepting new patients
Tanyna Sosa-Williams, LCSW Inc Social Worker Current Accepting new patients
Telehealth Specialty Medical Group CurrentSince Nov 30, 2024 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD
  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: telemed2u.tanynasosawilliams@160918.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1174957518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153865",
            "telephone_number": "323-999-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153865",
            "telephone_number": "323-999-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA-WILLIAMS",
        "first_name": "TANYNA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW89756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.