Individual provider Active NPI

Sarah Bibbo

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1184502825
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW126487 Issued in CA
Practice address
12401 Wilshire Blvd Ste 304
Los Angeles, CA 90025-1087
Phone
(424) 422-1626
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 ASW126487 CA Primary

Addresses

Primary practice location

12401 Wilshire Blvd Ste 304
Los Angeles, CA 90025-1087

Mailing address

11789 Montana Ave Apt 1
Los Angeles, CA 90049-6712

Other practice location 1

580 California St Fl 12
San Francisco, CA 94104-1033
Phone (415) 992-6155

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
ASW126487CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1184502825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11789 MONTANA AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251087",
            "telephone_number": "424-422-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 California St Fl 12",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941041033",
            "country_code": "US",
            "telephone_number": "415-992-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBBO",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW126487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.