Individual provider Active NPI

Anastazia Leigh Grey Woodin, MSW, ACSW

  • Social Worker
  • Santa Ana, CA
National Provider Identifier
1235782871
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117830 Issued in CA
Practice address
1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Phone
(714) 742-1398
NPI assigned
Jul 23, 2019
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117830 CA Primary

Addresses

Primary practice location

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718

Mailing address

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718

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
117830CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1235782871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718",
            "telephone_number": "714-742-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY WOODIN",
        "first_name": "ANASTAZIA",
        "middle_name": "LEIGH",
        "credential": "MSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "117830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.