Sherealyn Andrea Puente, ASW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

122781 Issued in CA

Practice address

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Phone

(562) 821-1491

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heredia Family Therapy, Inc

  • Marriage & Family Therapist
  • City of Industry, CA
  • NPI 1326553926
  NPD
• Heredia Family Therapy, Inc

  • Occupational Therapist
  • City of Industry, CA
  • NPI 1386380103
  NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1396588349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906080575",
            "telephone_number": "562-315-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "SHEREALYN",
        "middle_name": "ANDREA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "122781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Dental Group
• Ian Pollard
• Nagely Portesgil
• David Prophet
• Public Health Foundation Enterprises Inc
• Alice Quach, PHARMD
• Josephine Padilla Quicho, P.T.
• Dolores Quintanilla
• Angeles Ramirez Arteaga
• Araceli Isabel Ramirez Munoz

• Social Worker in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.