Active NPI
Kadi Danielle Glenn Aguilar, MSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1396350211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3001 W Vernon Ave
Los Angeles, CA 90008-5293 - Phone
- (323) 299-9554
- NPI assigned
- Sep 9, 2020
- 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 | Primary |
Addresses
Primary practice location
3001 W Vernon Ave
Los Angeles, CA 90008-5293
Mailing address
3001 W Vernon Ave
Los Angeles, CA 90008-5293
Phone (323) 299-9554
Other practice location 1
15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423
Other practice location 2
21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947
Phone (661) 259-9439
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleston Youth Centers, Inc. | Current | Accepting new patients |
Locations
3001 W Vernon Ave
Los Angeles, CA 90008
Phone (323) 299-9554
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1285916882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1396350211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W VERNON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900085293",
"telephone_number": "323-299-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W VERNON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900085293",
"telephone_number": "323-299-9554"
}
],
"practiceLocations": [
{
"address_1": "15305 Rayen St",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913435117",
"country_code": "US",
"telephone_number": "818-892-3423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21545 Centre Pointe Pkwy",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913502947",
"country_code": "US",
"telephone_number": "661-259-9439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR",
"first_name": "KADI",
"middle_name": "DANIELLE GLENN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.