Active NPI
Dolores Arevalo
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1255700027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 85252
- Practice address
- 1371 Exposition Blvd
Los Angeles, CA 90018-4530 - Phone
- (323) 316-0327
- NPI assigned
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 68326 | CA | |
| Clinical Social Worker | 1041C0700X | 85252 | CA | Primary |
Addresses
Primary practice location
1371 Exposition Blvd
Los Angeles, CA 90018-4530
Mailing address
1371 Exposition Blvd
Los Angeles, CA 90018-4530
Phone (323) 316-0327
Other practice location 1
21243 Ventura Blvd Ste 118
Woodland Hills, CA 91364-2162
Phone (818) 979-0065
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85252 | CA | MD | Marriage & Family Therapist |
| 68326 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1255700027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 EXPOSITION BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900184530",
"telephone_number": "323-316-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 EXPOSITION BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900184530",
"telephone_number": "323-316-0327"
}
],
"practiceLocations": [
{
"address_1": "21243 Ventura Blvd Ste 118",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913642162",
"country_code": "US",
"telephone_number": "818-979-0065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AREVALO",
"first_name": "DOLORES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "68326",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "85252",
"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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.