Active NPI
Tanya Quezada-Maciel, LCSW
- Clinical Social Worker
- Bell Gardens, CA
National Provider Identifier
1447443338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 25849
- Practice address
- 7326 Wilcox Ave
Bell Gardens, CA 90201-4309 - Phone
- (323) 869-1352
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS 25849 | CA | Primary |
Addresses
Primary practice location
7326 Wilcox Ave
Bell Gardens, CA 90201-4309
Mailing address
7326 Wilcox Ave
Bell Gardens, CA 90201-4309
Phone (323) 869-1352
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 |
|---|---|---|---|
| LCS 25849 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1447443338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7326 WILCOX AVE",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902014309",
"telephone_number": "323-869-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7326 WILCOX AVE",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902014309",
"telephone_number": "323-869-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA-MACIEL",
"first_name": "TANYA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 25849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bell Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.