Organization Active NPI

Empower TCT Inc

  • Clinical Social Worker
  • Santa Maria, CA
National Provider Identifier
1396429874
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWER TCT INC
Practice address
1414 S Miller St Ste D
Santa Maria, CA 93454-6915
Phone
(805) 266-3231
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Larisa Traga, LCSW, MAC, CCDSNPI 1619115060
Title
Ceo
Phone
(805) 266-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1414 S Miller St Ste D
Santa Maria, CA 93454-6915

Mailing address

1741 Winchester Way
Santa Maria, CA 93454-2665
Phone (805) 266-3231

Other practice location 1

11545 Los Osos Valley Rd Ste C4
San Luis Obispo, CA 93405-6414
Phone (805) 266-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005002084 CA Part B Supplier - Clinic/Group Practice 1052766334 Receives reassigned benefits from 3 practitioners
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

11545 Los Osos Valley Rd
Ste C4
San Luis Obispo, CA 93405
Phone (805) 266-3231

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1396429874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 WINCHESTER WAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934542665",
            "telephone_number": "805-266-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST STE D",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546915",
            "telephone_number": "805-266-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11545 Los Osos Valley Rd Ste C4",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934056414",
            "country_code": "US",
            "telephone_number": "805-266-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER TCT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "TRAGA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-266-3231",
        "authorized_official_credential": "LCSW, MAC, CCDS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.