Individual provider Active NPI

Beatriz Jimenez Duenas

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1427207430
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82239 Issued in CA
Practice address
4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Phone
(213) 358-1254
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW82239 CA Primary
Mental Health Counselor 101YM0800X ASW33936 CA

Addresses

Primary practice location

4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209

Mailing address

4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Phone (213) 358-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW33936CAMDMental Health Counselor
LCSW82239CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1427207430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "213-358-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "213-358-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ DUENAS",
        "first_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82239",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW33936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.