Individual provider Active NPI

Luis Alberto Contreras, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1275653966
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81446 Issued in CA
Practice address
3065 Beyer Blvd, Suite B-103
San Diego, CA 92154-3263
Phone
(619) 271-7748
Fax
(619) 271-7982
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27820 CA
Clinical Social Worker 1041C0700X 81446 CA Primary

Addresses

Primary practice location

3065 Beyer Blvd, Suite B-103
San Diego, CA 92154-3263

Mailing address

3065 Beyer Blvd, Suite B-103
San Diego, CA 92154
Phone (619) 271-7748

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
81446CAMDClinical Social Worker
27820CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Therapy and Consulting Inc Clinical CurrentSince Apr 17, 2020 Accepting new patients

Locations

3130 Bonita Rd
Ste 108
Chula Vista, CA 91910
Phone (619) 567-5500

3065 Beyer Blvd
Ste B103
San Diego, CA 92154
Phone (619) 271-7748

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1275653966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 BEYER BLVD, SUITE B-103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92154",
            "telephone_number": "619-271-7748",
            "fax_number": "619-271-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 BEYER BLVD, SUITE B-103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543263",
            "telephone_number": "619-271-7748",
            "fax_number": "619-271-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "27820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.