Individual provider Active NPI

Deanna Faye Sevilla, L.C.S.W.

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1497858328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS8835 Issued in CA
Practice address
13112 Hadley Street
Suite 106B
Whittier, CA 90601-4583
Phone
(562) 693-8118
Fax
(323) 340-1568
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS8835 CA Primary

Addresses

Primary practice location

13112 Hadley Street
Suite 106B
Whittier, CA 90601-4583

Mailing address

13112 Hadley Street
Suite 106B
Whittier, CA 90601-4583
Phone (562) 693-8118

Other identifiers 5

IdentifierTypeStateIssuer
143672OtherCAVALUE OPTIONS
050496OtherCAMANAGED HEALTH NETWORK
62-37257OtherCAUSBHPC
050539-000OtherCAMAGELLAN BEHAVIORAL HEALT
60054OtherCAAETNA

Other names 1

  • Miss Deanna Faye Brown Other name

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

LicenseStateTypeSpecialty
LCS8835CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497858328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 HADLEY STREET",
            "address_2": "SUITE 106B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014583",
            "telephone_number": "562-693-8118",
            "fax_number": "323-340-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 HADLEY STREET",
            "address_2": "SUITE 106B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014583",
            "telephone_number": "562-693-8118",
            "fax_number": "323-340-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "DEANNA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS8835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "143672",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "050496",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USBHPC",
            "identifier": "62-37257",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "050539-000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BROWN",
            "middle_name": "FAYE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.