Vanessa Aucella, MSW
Individual provider Active NPI Clinical Social Worker · Carson, CA
NPI 1598895401 · NPPES record last updated Jun 26, 2013
Key facts
- NPI
- 1598895401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS 29647 (CA)
- Practice address
- 460 E Carson Plaza Dr
Suite 122
Carson, CA 90746-3228 - Phone
- (310) 523-9500
- Fax
- (310) 225-2725
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW33071 | CA | MD | Mental Health Counselor |
| ASW 33071 | CA | MD | Clinical Social Worker |
| ASW20097 | CA | MD | Clinical Social Worker |
| LCS 29647 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW20097 | CA | |
| Clinical Social Worker | 1041C0700X | ASW 33071 | CA | |
| Mental Health Counselor | 101YM0800X | ASW33071 | CA | |
| Clinical Social Worker | 1041C0700X | LCS 29647 | CA | Yes |
Addresses
Primary practice location
460 E Carson Plaza Dr
Suite 122
Carson, CA 90746-3228
Mailing address
460 E Carson Plaza Dr
Suite 122
Carson, CA 90746-3228
Phone (310) 523-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007300 | Medicaid | CA |
Other providers in Carson, CA
- Neh Esther Asafor
- Asap Quality Care LLC
- Ryan Christopher Asencio
- Nathan Atthawimol
- Kim Marie Atwater
- Auclem Healthcare Services
- Avela Health Services LLC
- Katrina Marie Avery
- Lilibeth Avila
- Linda Avila
All providers in Carson, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.