Nuestra Familia, a Counseling and Social Services Agency, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14705 Issued in CA

Legal business name

NUESTRA FAMILIA, A COUNSELING AND SOCIAL SERVICES AGENCY, INC

Practice address

163 S Avenue 24 Ste 201
Los Angeles, CA 90031-2299

Phone

(855) 932-6454

Fax

(855) 932-6454

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maricela Calatayud, LCSW

Title

Director

Phone

(626) 487-5483

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1619426145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S AVENUE 24 STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312299",
            "telephone_number": "855-932-6454",
            "fax_number": "855-932-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S AVENUE 24 STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312299",
            "telephone_number": "855-932-6454",
            "fax_number": "855-932-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTRA FAMILIA, A COUNSELING AND SOCIAL SERVICES AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "CALATAYUD",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-487-5483",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14705",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 26, 2016; 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.