Individual provider Active NPI

Letonu Nancy Tenari

  • Clinical Social Worker
  • Anaheim, CA
National Provider Identifier
1396223624
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110676 Issued in CA
Practice address
1623 S Calle del Sol Apt D
Anaheim, CA 92802-2676
Phone
(562) 565-7913
NPI assigned
Jul 30, 2018
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW89630 CA
Social Worker 104100000X
Clinical Social Worker 1041C0700X 110676 CA Primary

Addresses

Primary practice location

1623 S Calle del Sol Apt D
Anaheim, CA 92802-2676

Mailing address

PO Box 796
Bellflower, CA 90707-0796
Phone (562) 565-7913

Other practice location 1

4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914
Phone (562) 346-1000

Other practice location 2

3530 Atlantic Ave Ste 210
Long Beach, CA 90807-4569
Phone (562) 424-1886

Other practice location 3

4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914
Phone (562) 346-1100

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
I20230915000248 CA Practitioner - Clinical Social Worker 8325402910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

19112 Gridley Rd
Suite 104
Cerritos, CA 90703-6614
Phone (562) 222-5258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW89630CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. Mental Health CurrentSince Jul 25, 2023 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jul 1, 2026 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 699-9841

17326 Edwards Rd
Ste A135
Cerritos, CA 90703
Phone (562) 222-5258

19112 Gridley Rd
Ste 104
Cerritos, CA 90703
Phone (562) 222-5258

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, 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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1396223624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907070796",
            "telephone_number": "562-565-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 S CALLE DEL SOL APT D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022676",
            "telephone_number": "562-565-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 E Pacific Coast Hwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908046914",
            "country_code": "US",
            "telephone_number": "562-346-1000",
            "fax_number": "562-961-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Atlantic Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074569",
            "country_code": "US",
            "telephone_number": "562-424-1886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 E Pacific Coast Hwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908046914",
            "country_code": "US",
            "telephone_number": "562-346-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENARI",
        "first_name": "LETONU",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW89630",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.