Active NPI
Alicia Daddio
- Marriage & Family Therapist
- Lake View Terrace, CA
National Provider Identifier
1437449790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 91421
- Practice address
- 11600 Eldridge Ave
Lake View Terrace, CA 91342-6506 - Phone
- (661) 305-4375
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91421 | CA | |
| Marriage & Family Therapist | 106H00000X | 91421 | CA | Primary |
Addresses
Primary practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Mailing address
23461 S Pointe Drive
Suite 220
Laguna Hills, CA 92653
Phone (949) 855-1556
Other practice location 1
23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523
Phone (949) 855-1556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91421 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Parents | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1982814562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1437449790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23461 S POINTE DRIVE",
"address_2": "SUITE 220",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653",
"telephone_number": "949-855-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 ELDRIDGE AVE",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913426506",
"telephone_number": "661-305-4375"
}
],
"practiceLocations": [
{
"address_1": "23461 S Pointe Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926531523",
"country_code": "US",
"telephone_number": "949-855-1556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DADDIO",
"first_name": "ALICIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2021-08-04",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "91421",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake View Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.