Individual provider Active NPI

Luz Catalina Escamilla, M.S.W., L.S.W, CAS

  • Social Worker
  • Hammond, IN
National Provider Identifier
1629448147
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33006724A Issued in IN
Practice address
7243 Jefferson Ave
Hammond, IN 46324-1905
Phone
(219) 218-3392
Fax
(219) 218-3392
NPI assigned
Sep 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33006724A IN Primary

Addresses

Primary practice location

7243 Jefferson Ave
Hammond, IN 46324-1905

Mailing address

7863 Broadway
Merrillville, IN 46410-5553
Phone (219) 795-1275

Other names 1

  • Mrs. Luz Catalina Escamilla Professional 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
33006724AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1629448147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-795-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 JEFFERSON AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241905",
            "telephone_number": "219-218-3392",
            "fax_number": "219-218-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "LUZ",
        "middle_name": "CATALINA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.S.W, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2023-06-09",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006724A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "ESCAMILLA",
            "middle_name": "CATALINA",
            "prefix": "MRS.",
            "credential": "MSW,LSW, CAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.