Active NPI
Dolores NMN Padilla, CLINICAL SOCIAL WORK
- Social Worker
- Palo Alto, CA
National Provider Identifier
1548713134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3801 Miranda Ave # 122
Palo Alto, CA 94304-1207 - Phone
- (650) 493-5000
- NPI assigned
- Jul 29, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW 72393 | CA | |
| Social Worker | 104100000X | CA | Primary |
Addresses
Primary practice location
3801 Miranda Ave # 122
Palo Alto, CA 94304-1207
Mailing address
4750 El Camino Real Apt 250
Los Altos, CA 94022-1384
Phone (520) 647-4097
Other practice location 1
2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 261-7777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dolores.Padilla1@VA.gov | Direct |
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 |
|---|---|---|---|
| ASW 72393 | CA | MD | Mental Health Counselor |
Interoperability endpoints
- dolores.padilla1@va.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1548713134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 EL CAMINO REAL APT 250",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221384",
"telephone_number": "520-647-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE # 122",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [
{
"address_1": "2001 The Alameda",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951261136",
"country_code": "US",
"telephone_number": "408-261-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA",
"first_name": "DOLORES",
"middle_name": "NMN",
"credential": "CLINICAL SOCIAL WORK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW 72393",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dolores.Padilla1@VA.gov",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3801 Miranda Ave # 122",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "943041207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.