Active NPI
Luz Estrada, LCSW
- Clinical Social Worker
- Indio, CA
National Provider Identifier
1508893132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 20766
- Practice address
- 45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310 - Phone
- (760) 342-8344
- Fax
- (760) 342-8345
- NPI assigned
- Jun 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 20766 | CA | Primary |
Addresses
Primary practice location
45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310
Mailing address
45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310
Phone (760) 347-9039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33BF27 | Medicaid | CA | |
| 33BFC7 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20766 | CA | MD | Clinical Social Worker |
| 20766 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehf Licensed Clinical Social Worker, Inc | Clinical | Past | Accepting new patients |
| Lae Family Counseling Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Indio, CA
- NPI 1164779377
-
- Clinical Social Worker
- Indio, CA
- NPI 1366799363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1508893132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45080 GOLF CENTER PKWY",
"address_2": "SUITE H",
"city": "INDIO",
"state": "CA",
"postal_code": "922017310",
"telephone_number": "760-347-9039",
"fax_number": "760-342-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45080 GOLF CENTER PKWY",
"address_2": "SUITE H",
"city": "INDIO",
"state": "CA",
"postal_code": "922017310",
"telephone_number": "760-342-8344",
"fax_number": "760-342-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "LUZ",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33BF27",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33BFC7",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.