Individual provider Active NPI

Gloria Leticia Rojas, LCSW

  • Clinical Social Worker
  • Lynwood, CA
National Provider Identifier
1619126018
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS29191 Issued in CA
Practice address
2620 Industry Way Ste C
Lynwood, CA 90262-4042
Phone
(562) 889-1526
NPI assigned
Sep 10, 2008
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 LCS29191 CA Primary

Addresses

Primary practice location

2620 Industry Way Ste C
Lynwood, CA 90262-4042

Mailing address

2620 Industry Way Ste C
Lynwood, CA 90262-4042
Phone (562) 889-1526

Other practice location 1

11912 Cresson St
Norwalk, CA 90650-1845
Phone (323) 683-1884

Other practice location 2

2640 Industry Way Ste C
Lynwood, CA 90262-4285
Phone (562) 889-1526

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
I20230905002853 CA Practitioner - Clinical Social Worker 4082077292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS29191CAMDClinical Social Worker
29191CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Aug 2, 2023 Accepting new patients
Southern California Health & Rehabilitation Program CurrentSince Mar 5, 2023 Accepting new patients

Locations

2620 Industry Way
Ste C
Lynwood, CA 90262
Phone (310) 667-4070

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1619126018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 INDUSTRY WAY STE C",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624042",
            "telephone_number": "562-889-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 INDUSTRY WAY STE C",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624042",
            "telephone_number": "562-889-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11912 Cresson St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906501845",
            "country_code": "US",
            "telephone_number": "323-683-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Industry Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902624285",
            "country_code": "US",
            "telephone_number": "562-889-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "GLORIA",
        "middle_name": "LETICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS29191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.