Individual provider Active NPI

Lizeth Alcantara Toscano

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1609203033
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103469 Issued in CA
Practice address
14221 Mar Vista St
Whittier, CA 90602-2640
Phone
(831) 214-9152
NPI assigned
Sep 30, 2013
Reactivated
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103469 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

14221 Mar Vista St
Whittier, CA 90602-2640

Mailing address

14221 Mar Vista St
Whittier, CA 90602-2640
Phone (831) 214-9152

Other practice location 1

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 254-2274

Other names 1

  • Lizeth Adriana Alcantara Former name

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

LicenseStateTypeSpecialty
103469CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1609203033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 MAR VISTA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022640",
            "telephone_number": "831-214-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 MAR VISTA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022640",
            "telephone_number": "831-214-9152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-254-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOSCANO",
        "first_name": "LIZETH",
        "middle_name": "ALCANTARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "deactivation_date": "2022-05-19",
        "reactivation_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103469",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZETH",
            "last_name": "ALCANTARA",
            "middle_name": "ADRIANA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.