Individual provider Active NPI

Maria Rosario Pozo Humphreys, LCSW, PHD

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1336256999
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 14157 Issued in CA
Practice address
611 Wilshire Blvd Ste 309
Los Angeles, CA 90017-2908
Phone
(562) 234-1999
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 LCSW 14157 CA Primary

Addresses

Primary practice location

611 Wilshire Blvd Ste 309
Los Angeles, CA 90017-2908

Mailing address

800 W 1St St Unit 1805
Los Angeles, CA 90012-2481
Phone (562) 234-1999

Other names 1

  • Maria Rosario Pozo Humphreys Other name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSW 14157CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1336256999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 1ST ST UNIT 1805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122481",
            "telephone_number": "562-234-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSHIRE BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172908",
            "telephone_number": "562-234-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZO HUMPHREYS",
        "first_name": "MARIA",
        "middle_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 14157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "POZO HUMPHREYS",
            "middle_name": "ROSARIO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.