Active NPI
John Anthony Murillo, LCSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1629814975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW114830
- Practice address
- 530 S Lake Ave # 173
Pasadena, CA 91101-3515 - Phone
- (818) 861-9383
- NPI assigned
- Jul 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW114830 | CA | Primary |
Addresses
Primary practice location
530 S Lake Ave # 173
Pasadena, CA 91101-3515
Mailing address
530 S Lake Ave # 173
Pasadena, CA 91101-3515
Phone (818) 861-9383
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW114830 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1629814975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S LAKE AVE # 173",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013515",
"telephone_number": "818-861-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S LAKE AVE # 173",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013515",
"telephone_number": "818-861-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-06",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW114830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.