Individual provider Active NPI

Ansely Henriquez

  • Clinical Social Worker
  • Commerce, CA
National Provider Identifier
1407988322
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80152 Issued in CA
Practice address
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone
(661) 902-1091
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 80152 CA Primary

Addresses

Primary practice location

5628 E Slauson Ave
Commerce, CA 90040-2922

Mailing address

5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (661) 902-1091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250228002714 CA Practitioner - Clinical Social Worker 9436679057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henriquez Counseling and WellnessGroup PAC ID 0345760054, 2 clinicians

Practice addresses (Care Compare)

1272 Ctr Court Dr
Suite 101
Covina, CA 91724-3667
Phone (626) 413-4916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80152CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Henriquez Counseling and Wellness Mental Health CurrentSince Jan 10, 2025 Accepting new patients

Locations

1272 Center Court Dr
Ste 101
Covina, CA 91724
Phone (626) 413-4916

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1407988322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "661-902-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "661-902-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "ANSELY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.