Active NPI
Yesenia Maria Carmona
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1538295449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW90603
- Practice address
- 510 S Vermont Ave FL 17
Los Angeles, CA 90020-1912 - Phone
- (213) 561-1934
- NPI assigned
- Feb 26, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ACSW90603 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | ASW90603 | CA | Primary |
Addresses
Primary practice location
510 S Vermont Ave FL 17
Los Angeles, CA 90020-1912
Mailing address
PO Box 1332
South Gate, CA 90280-1332
Phone (213) 561-1934
Other practice location 1
370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Phone (310) 787-1500
Other practice location 2
2620 Industry Way
Lynwood, CA 90262
Phone (310) 667-4070
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW90603 | CA | MD | Mental Health Counselor |
| ASW90603 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1538295449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1332",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902801332",
"telephone_number": "213-561-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S VERMONT AVE FL 17",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912",
"telephone_number": "213-561-1934"
}
],
"practiceLocations": [
{
"address_1": "370 Crenshaw Blvd Ste E100",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905031728",
"country_code": "US",
"telephone_number": "310-787-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2620 Industry Way",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "90262",
"country_code": "US",
"telephone_number": "310-667-4070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMONA",
"first_name": "YESENIA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW90603",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW90603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.