Individual provider Active NPI

Maria Cecilia Ahrens, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1396800769
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 24126 Issued in CA
Practice address
4452 Park Blvd
Suite 204
San Diego, CA 92116-4051
Phone
(619) 823-1382
NPI assigned
Dec 26, 2006
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 LCS 24126 CA Primary

Addresses

Primary practice location

4452 Park Blvd
Suite 204
San Diego, CA 92116-4051

Mailing address

4452 Park Blvd
Suite 204
San Diego, CA 92116-4051
Phone (619) 823-1382

Other names 1

  • Ms. Cecille Del Gallego Ahrens Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24126CAMDAddiction (Substance Use Disorder) Counselor
LCS 24126CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Therapy Clinical CurrentSince Dec 17, 2017 Accepting new patients
Transform Therapy, Inc. Clinical Current Accepting new patients
Transcend Behavioral Health Past Accepting new patients

Locations

4452 Park Blvd
Ste 204
San Diego, CA 92116
Phone (619) 823-1382

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

Interoperability endpoints

  • Direct secure messaging: cecille@transcendtx.officeally.direct

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1396800769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 PARK BLVD",
            "address_2": "SUITE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164051",
            "telephone_number": "619-823-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 PARK BLVD",
            "address_2": "SUITE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164051",
            "telephone_number": "619-823-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "MARIA",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILLE",
            "last_name": "DEL GALLEGO AHRENS",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.