Humberto Avina
Individual provider Active NPI Clinical Social Worker · Carson, CA
NPI 1336033364 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1336033364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ASW128234 (CA)
- Practice address
- 20511 Campaign Dr Apt 22H
Carson, CA 90746-3414 - Phone
- (714) 722-4184
- NPI assigned
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW128234 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW128234 | CA | |
| Clinical Social Worker | 1041C0700X | ASW128234 | CA | Yes |
Addresses
Primary practice location
20511 Campaign Dr Apt 22H
Carson, CA 90746-3414
Mailing address
20511 Campaign Dr Apt 22H
Carson, CA 90746-3414
Phone (714) 722-4184
Other providers in Carson, CA
- Avela Health Services LLC
- Katrina Marie Avery
- Lilibeth Avila
- Linda Avila
- Nancy Lidia Avila I
- Aws Services and Nursing Inc.
- Hamza Ayub
- Annette A Azcarate
- Back in Motion Physical Therapy
- Jimson Bacolod
All providers in Carson, 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 Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.