Active NPI
Kariann Lorraine Herrera
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1487775045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 70169
- Practice address
- 4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043 - Phone
- (323) 290-8360
- NPI assigned
- Apr 2, 2007
- 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 | |||
| Clinical Social Worker | 1041C0700X | 70169 | CA | Primary |
Addresses
Primary practice location
4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043
Mailing address
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
Other practice location 1
850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone (562) 981-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70169 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnest Emotional Health & Wellness | Past | 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
- Los Angeles, CA
- NPI 1639293574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1487775045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033",
"telephone_number": "323-373-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CRENSHAW BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90043",
"telephone_number": "323-290-8360"
}
],
"practiceLocations": [
{
"address_1": "850 E Wardlow Rd",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908074628",
"country_code": "US",
"telephone_number": "562-981-9392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "KARIANN",
"middle_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "70169",
"primary": true
}
],
"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 Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.