Yvette Marie Padilla I
Individual provider Active NPI Clinical Social Worker · San Fernando, CA
NPI 1316465685 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1316465685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW110823 (CA)
- Practice address
- 10605 Balboa Blvd Ste 100
San Fernando, CA 91344 - Phone
- (818) 832-2400
- NPI assigned
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Los Angeles County Department of Mental Health
Practice addresses (Care Compare)
10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6367
Phone (818) 832-2400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250910002694 | CA | Practitioner - Clinical Social Worker | 4486157054 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW83191 | CA | MD | Mental Health Counselor |
| LCSW110823 | CA | MD | Clinical Social Worker |
| 110823 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current |
Accepting new patients | |
| Los Angeles County Department of Mental Health | Current |
Accepting new patients |
Locations
10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW83191 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW110823 | CA | Yes |
Addresses
Primary practice location
10605 Balboa Blvd Ste 100
San Fernando, CA 91344
Mailing address
10605 Balboa Blvd Ste 100
San Fernando, CA 91344-6367
Phone (818) 832-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648497 | Medicaid | CA |
Other providers in San Fernando, CA
- Yoseline Yajaira Ortiz
- Adamary Osuna
- Clifford K Oyama
- Randi Oyama
- Pacific City Group, Inc.
- Gokuldas M Pai
- Spencer Palache
- Dave Palafox-Velarde
- Christine Palencia
- Christine Lim-Fun Chan Park
All providers in San Fernando, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.