Joanna Marie Delgado, ACSW
Individual provider Active NPI Clinical Social Worker · Irwindale, CA
NPI 1497399265 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1497399265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW111864 (CA)
- Practice address
- 13001 Ramona Blvd Ste 1
Irwindale, CA 91706-3752 - Phone
- (626) 337-3828
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
3330 Centre Lake Dr
Ontario, CA 91761-1211
Phone (909) 271-4770
9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404000936 | CA | Practitioner - Clinical Social Worker | 0143695205 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90688 | CA | MD | Mental Health Counselor |
| LCSW111864 | CA | MD | Clinical Social Worker |
| 111864 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Pacific Clinics | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
1160 S Grand Ave
Glendora, CA 91740
Phone (626) 335-5980
13001 Ramona Blvd
Ste Hi
Irwindale, CA 91706
Phone (626) 337-3828
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90688 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW111864 | CA | Yes |
Addresses
Primary practice location
13001 Ramona Blvd Ste 1
Irwindale, CA 91706-3752
Mailing address
PO Box 545
Baldwin Park, CA 91706-0545
Phone (626) 422-6199
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Irwindale, CA
- Kalisha Lavette Daniel
- Sheila Davis
- Maria Teresa Arguelles De Guia
- De Pardo Dental Corporation
- Jason Christopher Dela Cruz
- Lacresia Marie Dennis Smith
- Christian Derefield
- Mercedes Desales
- Jeanne Deseran
- Destiny Care Services Inc
All providers in Irwindale, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.