Cerevity, Licensed Clinical Social Worker, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CEREVITY, LICENSED CLINICAL SOCIAL WORKER, P.C.

Practice address

3217 Carson St # 319
Lakewood, CA 90712-4006

Phone

(562) 295-6650

NPI assigned

Jan 29, 2025

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Fernandez, LCSWNPI 1124599238

Title

President

Phone

(562) 295-6650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Fernandez

  • Clinical Social Worker
  • Lakewood, CA
  • NPI 1124599238

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1528871035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CARSON ST # 319",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006",
            "telephone_number": "562-418-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 CARSON ST # 319",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006",
            "telephone_number": "562-295-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREVITY, LICENSED CLINICAL SOCIAL WORKER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-295-6650",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Ronquillo Cayas, DDS
• Century Hospice Inc
• Century Radiology Medical Group Inc
• Century Radiology Medical Group, Inc
• Cep America-California
• Lizbeth Ceron
• Christopher Chaffin, MA
• Hoi Chan
• John Chan, DPM
• Lisa M Chan, L.AC.

• Mental Health Counselor in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.