Lidia Manetta Escobar, LCSW 23163, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23163 Issued in CA

Practice address

15683 Ponderosa LN
Chino Hills, CA 91709-3342

Phone

(909) 957-8277

Fax

(909) 248-0527

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1528316874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15683 PONDEROSA LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093342",
            "telephone_number": "909-957-8277",
            "fax_number": "909-248-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15683 PONDEROSA LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093342",
            "telephone_number": "909-957-8277",
            "fax_number": "909-248-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "LIDIA",
        "middle_name": "MANETTA",
        "credential": "LCSW 23163, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empatherapy Family Counseling, Inc
• Empower Physical Therapy and Wellness, Inc (Empower Physical Therapy and Wellness)
• David Erlenbush, PA-C
• Christopher Escobar, BCBA
• Jose David Escobar, PT, DPT
• Federico Escobedo Jarque
• Brittney Ann Espina, BCBA
• Jessica Esqueda
• Allyana Ashley Estrada, LVN
• Xandria Evans

• Clinical Social Worker in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.

Verify at the official NPI Registry.