Audra Jo Casabella, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 26550 Issued in CA

Practice address

8019 Compton Ave
Los Angeles, CA 90001-3409

Phone

(323) 586-7333

Fax

(323) 319-1998

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Audra Jo Penaflorida Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Los Angeles County Department of Mental Health

  dba M.E.T.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South El Monte, CA
  • NPI 1154337418
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1588796148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26332 MARGARITA LN",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546737",
            "telephone_number": "626-673-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013409",
            "telephone_number": "323-586-7333",
            "fax_number": "323-319-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASABELLA",
        "first_name": "AUDRA",
        "middle_name": "JO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW20787",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 26550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "PENAFLORIDA",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cary Charlin D.D.S & Associaates, Inc
• Cary Charlin DDS Inc.
• Sarah J Cary, M.F.T.
• Casa Bella Sober Living - West, LLC
• Casa Blanca Outpatient Services (Universal Treatment)
• Casablanca Outpatient
• Joseph Casaceli Jr.
• Thomas L Casados
• Jennilyn B. Casalme, CRNA
• Claire Casanova, OTD, OTR/L

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.