Individual provider Active NPI

Elizabeth Valenzuela

  • Clinical Social Worker
  • Huntington Beach, CA
National Provider Identifier
1407263155
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70498 Issued in CA
Practice address
1717 California St
Apt 1
Huntington Beach, CA 92648-3145
Phone
(951) 359-4471
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 70498 CA Primary

Addresses

Primary practice location

1717 California St
Apt 1
Huntington Beach, CA 92648-3145

Mailing address

1717 California St Apt 1
Huntington Beach, CA 92648-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160304001519 CA Practitioner - Clinical Social Worker 2961707922
I20260622003869 TX Practitioner - Clinical Social Worker 2961707922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

1 Chisholm Trail Rd
Suite 450
Round Rock, TX 78681-5094
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare, a Licensed Clinical Social Worker PC Clinical Current Accepting new patients
Behavioral Health Specialists (de), P.a. Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1407263155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CALIFORNIA ST APT 1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CALIFORNIA ST",
            "address_2": "APT 1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483145",
            "telephone_number": "951-359-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.