Organization Active NPI

Roxanne Horta LCSW, Inc.

  • Clinical Social Worker
  • Redondo Beach, CA
National Provider Identifier
1255008397
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROXANNE HORTA LCSW, INC.
Practice address
2512 Artesia Blvd Ste 305C
Redondo Beach, CA 90278-3269
Phone
(424) 435-8790
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Roxanne Horta Moreno, LCSWNPI 1053614727
Title
Owner
Phone
(424) 435-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2512 Artesia Blvd Ste 305C
Redondo Beach, CA 90278-3269

Mailing address

2110 Artesia Blvd Ste B-473
Redondo Beach, CA 90278-3073
Phone (424) 435-8790

National Provider Directory

National Provider Directory

Locations

2110 Artesia Blvd
Ste B473
Redondo Beach, CA 90278

2512 Artesia Blvd
Ste 305C
Redondo Beach, CA 90278
Phone (424) 256-3810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1255008397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 ARTESIA BLVD STE B-473",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783073",
            "telephone_number": "424-435-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 305C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783269",
            "telephone_number": "424-435-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE HORTA LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "HORTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-435-8790",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.