Active NPI
Maria Rosario Pozo Humphreys, LCSW, PHD
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1336256999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 14157
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 14157 | CA | MD | Clinical 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.