Active NPI
Sonia Rodrigues Penso, LCSW
- Clinical Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1619216660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW93239
- Practice address
- 11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815 - Phone
- (562) 907-7429
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 77803 | CA | |
| Clinical Social Worker | 1041C0700X | 93239 | CA | |
| School Social Worker | 1041S0200X | 93239 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW93239 | CA | Primary |
Addresses
Primary practice location
11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815
Mailing address
11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815
Phone (562) 907-7429
Other practice location 1
420 S San Pedro St Ste G4
Los Angeles, CA 90013-1938
Phone (213) 620-5712 ext. 102
Other practice location 2
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931 ext. 368
Other practice location 3
9829 Carmenita Rd Ste H
Whittier, CA 90605-3262
Phone (562) 907-7429
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77803 | CA | MD | Mental Health Counselor |
| LCSW93239 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1619216660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11731 TELEGRAPH RD STE K",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706815",
"telephone_number": "562-907-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11731 TELEGRAPH RD STE K",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706815",
"telephone_number": "562-907-7429"
}
],
"practiceLocations": [
{
"address_1": "420 S San Pedro St Ste G4",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900131938",
"country_code": "US",
"telephone_number": "213-620-5712 x102",
"fax_number": "213-621-4155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 N Occidental Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264641",
"country_code": "US",
"telephone_number": "213-381-2931 x368",
"fax_number": "213-381-0884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9829 Carmenita Rd Ste H",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906053262",
"country_code": "US",
"telephone_number": "562-907-7429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENSO",
"first_name": "SONIA",
"middle_name": "RODRIGUES",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "77803",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "93239",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "93239",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW93239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.