Individual provider Active NPI

Patricia De la Torre, LCSW

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1306966122
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW78078 Issued in CA
Practice address
6528 Greenleaf Ave Ste 103
Whittier, CA 90601-4107
Phone
(562) 367-7730
NPI assigned
Mar 29, 2007
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 LCSW78078 CA Primary

Addresses

Primary practice location

6528 Greenleaf Ave Ste 103
Whittier, CA 90601-4107

Mailing address

9830 Belmont St Apt 308
Bellflower, CA 90706-5459
Phone (562) 320-1958

Other practice location 1

13200 Crossroads Pkwy N Ste 335
City Of Industry, CA 91746-3485
Phone (562) 821-1491

Other practice location 2

742 W Gardena Blvd
Gardena, CA 90247-5024
Phone (310) 327-1357

Other identifiers 1

IdentifierTypeStateIssuer
1306966122OtherCAPRIVATE PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001079 CA Practitioner - Clinical Social Worker 1850631854 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW78078CAMDClinical Social Worker
78078CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling of California LLC Clinical CurrentSince Oct 18, 2018 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Dec 24, 2024 Accepting new patients
Heredia Family Therapy, Inc PastSince May 8, 2022 Accepting new patients
Heredia Family Therapy, Inc Clinical PastSince Oct 9, 2022 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Organizations & group practices 4

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": "1592784000000",
    "number": "1306966122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 BELMONT ST APT 308",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065459",
            "telephone_number": "562-320-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 GREENLEAF AVE STE 103",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014107",
            "telephone_number": "562-367-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13200 Crossroads Pkwy N Ste 335",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917463485",
            "country_code": "US",
            "telephone_number": "562-821-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 W Gardena Blvd",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902475024",
            "country_code": "US",
            "telephone_number": "310-327-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "1306966122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.