Individual provider Active NPI

Andrew Bayani De Ramos, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1639646540
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
141440 Issued in CA
Practice address
4099 N Mission Rd
Los Angeles, CA 90032-2697
Phone
(323) 221-1746
Fax
(323) 221-5176
NPI assigned
Oct 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 141440 CA Primary
Clinical Social Worker 1041C0700X ASW96335 CA

Addresses

Primary practice location

4099 N Mission Rd
Los Angeles, CA 90032-2697

Mailing address

4099 N Mission Rd Ste a
Los Angeles, CA 90032-2697
Phone (323) 221-1746

Other practice location 1

4099 N Mission Rd
Los Angeles, CA 90032-2697
Phone (323) 221-1746 ext. 3707

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
ASW96335CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Model Recovery Systems, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1639646540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 N MISSION RD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322697",
            "telephone_number": "323-221-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322697",
            "telephone_number": "323-221-1746",
            "fax_number": "323-221-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4099 N Mission Rd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900322697",
            "country_code": "US",
            "telephone_number": "323-221-1746 x3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE RAMOS",
        "first_name": "ANDREW",
        "middle_name": "BAYANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "141440",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW96335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.