Active NPI
Cecilia Carr
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1376064667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108303
- Practice address
- 769 N Orange Grove Blvd
Pasadena, CA 91103-3331 - Phone
- (818) 809-6712
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 108303 | CA | Primary |
Addresses
Primary practice location
769 N Orange Grove Blvd
Pasadena, CA 91103-3331
Mailing address
7727 Lankershim Blvd Apt 321
North Hollywood, CA 91605-6547
Phone (818) 497-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22540000X | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108303 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1376064667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7727 LANKERSHIM BLVD APT 321",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916056547",
"telephone_number": "818-497-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 N ORANGE GROVE BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033331",
"telephone_number": "818-809-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22540000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.