Individual provider Active NPI

Tyra Cherise Torian, LCSW

  • Clinical Social Worker
  • Hawthorne, CA
National Provider Identifier
1366567968
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW28481 Issued in CA
Practice address
13666 Hawthorne Blvd Ste 3
Hawthorne, CA 90250-5815
Phone
(310) 621-4919
Fax
(424) 456-7442
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 LCSW28481 CA Primary

Addresses

Primary practice location

13666 Hawthorne Blvd Ste 3
Hawthorne, CA 90250-5815

Mailing address

13666 Hawthorne Blvd Ste 3
Hawthorne, CA 90250-5815
Phone (310) 621-4919

Other practice location 1

8019 Compton Ave
Los Angeles, CA 90001-3409
Phone (323) 586-7333 ext. 7340

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

State licenses

LicenseStateTypeSpecialty
LCSW28481CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blessy Giron, Licensed Clinical Social Worker Clinical CurrentSince Oct 9, 2022 Accepting new patients
Special Service for Groups, Inc. PastSince Jun 25, 2012 Accepting new patients

Locations

13666 Hawthorne Blvd
Ste 3
Hawthorne, CA 90250
Phone (213) 448-6605

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1366567968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13666 HAWTHORNE BLVD STE 3",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505815",
            "telephone_number": "310-621-4919",
            "fax_number": "424-456-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13666 HAWTHORNE BLVD STE 3",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505815",
            "telephone_number": "310-621-4919",
            "fax_number": "424-456-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8019 Compton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900013409",
            "country_code": "US",
            "telephone_number": "323-586-7333 x7340",
            "fax_number": "323-319-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORIAN",
        "first_name": "TYRA",
        "middle_name": "CHERISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW28481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.