Individual provider Active NPI

Patricia Becerra, LCSW

  • Clinical Social Worker
  • Brea, CA
National Provider Identifier
1568656221
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 26901 Issued in CA
Practice address
633 S Brea Blvd Ste 201
Brea, CA 92821-5308
Phone
(562) 568-9739
NPI assigned
Sep 5, 2007
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 LCS 26901 CA Primary

Addresses

Primary practice location

633 S Brea Blvd Ste 201
Brea, CA 92821-5308

Mailing address

633 S Brea Blvd Ste 201
Brea, CA 92821-5308
Phone (562) 568-9739

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
I20151214002570 CA Practitioner - Clinical Social Worker 9739351313 Practice locations: Brea, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

633 S Brea Blvd
Suite 201
Brea, CA 92821-5308
Phone (562) 568-9739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 26901CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Becerra, LCSW Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

633 S Brea Blvd
Brea, CA 92821
Phone (626) 506-8434

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1568656221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S BREA BLVD STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215308",
            "telephone_number": "562-568-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S BREA BLVD STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215308",
            "telephone_number": "562-568-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 26901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.