Individual provider Active NPI

Sylvia Andrade Espino, ACSW, MSW, LCSW

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1467577023
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS28946 Issued in CA
Practice address
1338 Center Court Dr Ste 105
Covina, CA 91724-3681
Phone
(626) 484-9359
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 ASW14380 CA
Clinical Social Worker 1041C0700X LCS28946 CA Primary

Addresses

Primary practice location

1338 Center Court Dr Ste 105
Covina, CA 91724-3681

Mailing address

1207 W Greenhaven St
Covina, CA 91722-1231
Phone (626) 484-9359

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
I20150312002736 CA Practitioner - Clinical Social Worker 7416273230 Reassigns benefits to 1 organization
Practice locations: Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vortex Mental HealthGroup PAC ID 1759716673, 17 clinicians

Practice addresses (Care Compare)

1760 Termino Ave
Suite 100
Long Beach, CA 90804-2182
Phone (310) 552-0146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW14380CAMDClinical Social Worker
LCS28946CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vortex Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

420 S Beverly Dr
Ste 211
Beverly Hills, CA 90212
Phone (310) 552-0146

1760 Termino Ave
Ste 100
Long Beach, CA 90804
Phone (310) 552-0146

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1467577023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W GREENHAVEN ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221231",
            "telephone_number": "626-484-9359",
            "fax_number": "626-332-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 CENTER COURT DR STE 105",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243681",
            "telephone_number": "626-484-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO",
        "first_name": "SYLVIA",
        "middle_name": "ANDRADE",
        "name_prefix": "Mrs.",
        "credential": "ACSW, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW14380",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS28946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.