Individual provider Active NPI

Anna King, LCSW

  • Clinical Social Worker
  • Claremont, CA
National Provider Identifier
1184295453
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW76218 Issued in CA
Practice address
101 N Indian Hill Blvd Ste C1-200
Claremont, CA 91711-4667
Phone
(909) 333-7434
Fax
(909) 503-0603
NPI assigned
Jul 7, 2021
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW76218 CA Primary

Addresses

Primary practice location

101 N Indian Hill Blvd Ste C1-200
Claremont, CA 91711-4667

Mailing address

101 N Indian Hill Blvd Ste C1-200
Claremont, CA 91711-4667
Phone (909) 333-7434

Other identifiers 1

IdentifierTypeStateIssuer
LCSW76218OtherCALCSW 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW76218CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Counseling and Wellness CurrentSince May 22, 2022 Accepting new patients

Locations

101 N Indian Hill Blvd
Ste C1-200
Claremont, CA 91711
Phone (866) 200-9090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1184295453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114667",
            "telephone_number": "909-333-7434",
            "fax_number": "909-503-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114667",
            "telephone_number": "909-333-7434",
            "fax_number": "909-503-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "LCSW76218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.