Organization Active NPI

Therapeutic Alliance Professionals LLC

  • Clinical Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1528785615
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPEUTIC ALLIANCE PROFESSIONALS LLC
Practice address
12631 Imperial Hwy Ste B117-10
Santa Fe Springs, CA 90670-6727
Phone
(562) 287-8804
NPI assigned
Oct 20, 2022
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Isabella Vidriales, LCSW
Title
Owner/ Authorized Official
Phone
(562) 418-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12631 Imperial Hwy Ste B117-10
Santa Fe Springs, CA 90670-6727

Mailing address

12631 Imperial Hwy Ste B117-10
Santa Fe Springs, CA 90670-6727
Phone (562) 287-8804

National Provider Directory

National Provider Directory

Locations

12631 Imperial Hwy
Ste B117-10
Santa Fe Springs, CA 90670
Phone (562) 287-8804

12631 Imperial Hwy
Ste B11710
Santa Fe Springs, CA 90670
Phone (562) 287-8804

12631 Imperial Hwy
Ste D116
Santa Fe Springs, CA 90670
Phone (562) 287-8804

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1528785615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY STE B117-10",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706727",
            "telephone_number": "562-287-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY STE B117-10",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706727",
            "telephone_number": "562-287-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "VIDRIALES",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "562-418-7299",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.