Individual provider Active NPI

Cynthia Ludi

  • Clinical Social Worker
  • Grand Terrace, CA
National Provider Identifier
1528483336
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29796 Issued in CA
Practice address
22504 Canal Cir
Grand Terrace, CA 92313-5085
Phone
(951) 743-6736
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 29796 CA Primary

Addresses

Primary practice location

22504 Canal Cir
Grand Terrace, CA 92313-5085

Mailing address

22504 Canal Cir
Grand Terrace, CA 92313-5085
Phone (951) 743-6736

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201006001630 CA Practitioner - Clinical Social Worker 6103245469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognitive Care Solutions Group IncGroup PAC ID 5698066124, 42 clinicians

Practice addresses (Care Compare)

32170 Niguel Rd
Laguna Niguel, CA 92677-4264
Phone (877) 295-3747

3943 Irvine Blvd
Suite 261
Irvine, CA 92602-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29796CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Solutions Group Inc CurrentSince Aug 25, 2020 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Apr 14, 2023 Accepting new patients
Cognitive Care Solutions Inc PastSince Jun 10, 2014 Accepting new patients

Locations

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1526 Brookhollow Dr
Ste 73
Santa Ana, CA 92705
Phone (714) 545-3390

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1528483336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22504 CANAL CIR",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135085",
            "telephone_number": "951-743-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22504 CANAL CIR",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135085",
            "telephone_number": "951-743-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDI",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Terrace, CA

Sources for this page

Verify at the official NPI Registry.