Individual provider Active NPI

Damian Robledo, LCSW 66152

  • Clinical Social Worker
  • Monrovia, CA
National Provider Identifier
1376831289
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 66152 Issued in CA
Practice address
135 W Cypress Ave
Monrovia, CA 91016-4157
Phone
(626) 274-5522
NPI assigned
Jul 12, 2011
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 66152 CA Primary

Addresses

Primary practice location

135 W Cypress Ave
Monrovia, CA 91016-4157

Mailing address

135 W Cypress Ave
Monrovia, CA 91016-4157
Phone (626) 274-5522

Other identifiers 1

IdentifierTypeStateIssuer
LCSW 66152OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901002596 CA Practitioner - Clinical Social Worker 3577879873 Reassigns benefits to 2 organizations
Practice locations: Monrovia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Columbia University College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66152CAMDMental Health Counselor
LCSW 66152CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jan 2, 2023 Accepting new patients
Neighborhood Healthcare CurrentSince Jan 2, 2023 Accepting new patients
Core a Licensed Clinical Social Worker Corporation Clinical CurrentSince Jan 7, 2026 Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Pacific Coast Psychology Group, Inc. PastSince Oct 1, 2023 Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
#0
Escondido, CA 92025

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1376831289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W CYPRESS AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164157",
            "telephone_number": "626-274-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W CYPRESS AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164157",
            "telephone_number": "626-274-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "DAMIAN",
        "credential": "LCSW 66152",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 66152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCSW 66152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.