Organization Active NPI

George Caballero, LCSW Inc

  • Clinical Social Worker
  • Montebello, CA
National Provider Identifier
1578639415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11522 Issued in CA
Legal business name
GEORGE CABALLERO, LCSW INC
Practice address
516 W Whittier Blvd
Suite C
Montebello, CA 90640-5234
Phone
(323) 255-9421
Fax
(323) 344-9084
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Caballero, MSW, LCSWNPI 1053413351
Title
President
Phone
(323) 255-9421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS11522 CA Primary

Addresses

Primary practice location

516 W Whittier Blvd
Suite C
Montebello, CA 90640-5234

Mailing address

P.O. Box 411141
Los Angeles, CA 90041
Phone (323) 255-9421

Other identifiers 1

IdentifierTypeStateIssuer
LCS 11522OtherCALICENSED SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118000832 CA Part B Supplier - Clinic/Group Practice 7214461961 Receives reassigned benefits from 1 practitioner
Practice locations: Montebello, CA

National Provider Directory

National Provider Directory

Locations

1611 Paramount Blvd
Montebello, CA 90640
Phone (323) 255-9421

516 W Whittier Blvd
Ste C
Montebello, CA 90640
Phone (323) 255-9421

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578639415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 411141",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-255-9421",
            "fax_number": "323-344-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W WHITTIER BLVD",
            "address_2": "SUITE C",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405234",
            "telephone_number": "323-255-9421",
            "fax_number": "323-344-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE CABALLERO, LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-255-9421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "LCS 11522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.