Active NPI
Leticia Ann Vasquez
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1437692316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 96652
- Practice address
- 3544 Jasmine Ave Apt 9
Los Angeles, CA 90034-3831 - Phone
- (361) 212-8247
- NPI assigned
- Nov 28, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 96652 | CA | Primary |
Addresses
Primary practice location
3544 Jasmine Ave Apt 9
Los Angeles, CA 90034-3831
Mailing address
3751 Motor Ave
PO Box 34764
Los Angeles, CA 90034-9998
Phone (361) 212-8247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y3199728 | Other | CA | DEPARTMENT OF MOTOR VEHICLES (DMV) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96652 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1437692316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 MOTOR AVE",
"address_2": "PO BOX 34764",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900349998",
"telephone_number": "361-212-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 JASMINE AVE APT 9",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343831",
"telephone_number": "361-212-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "LETICIA",
"middle_name": "ANN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF MOTOR VEHICLES (DMV)",
"identifier": "Y3199728",
"state": "CA"
}
],
"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 Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.