NPIMap

Organization Active NPI

Core a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Monrovia, CA
National Provider Identifier
1326762931
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CORE A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
135 W Cypress Ave
Monrovia, CA 91016-4157
Phone
(626) 618-5653
Fax
(877) 399-1557
NPI assigned
Sep 27, 2022
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Damian Robledo, LCSWNPI 1376831289
Title
Owner
Phone
(626) 618-5653

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

135 W Cypress Ave
Monrovia, CA 91016-4157

Mailing address

135 W Cypress Ave
Monrovia, CA 91016-4157
Phone (626) 618-5653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115002833 CA Part B Supplier - Clinic/Group Practice 7416433800 Receives reassigned benefits from 6 practitioners
Practice locations: Monrovia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1326762931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W CYPRESS AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164157",
            "telephone_number": "626-618-5653",
            "fax_number": "877-399-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W CYPRESS AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164157",
            "telephone_number": "626-618-5653",
            "fax_number": "877-399-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-618-5653",
        "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 Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.