Individual provider Active NPI

Carolina Daniela Eberhard Veira, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1649440470
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW73541 Issued in CA
Practice address
1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231
Phone
(714) 509-8210
NPI assigned
Mar 7, 2008
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW73541 CA Primary

Addresses

Primary practice location

1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231

Mailing address

1120 W la Veta Ave Ste 660
Orange, CA 92868-4244
Phone (714) 509-8210

Other practice location 1

211 E Columbine Ave Ste D
Santa Ana, CA 92707-4404
Phone (714) 549-6440

Other names 1

  • Ms. Carolina Daniela Eberhard Former 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
LCSW73541CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Orange County CurrentSince Jul 1, 2023 Accepting new patients
Dr. Patricia's Health Club, Inc. PastSince Feb 1, 2023 Accepting new patients

Locations

1120 W La Veta Ave
Ste 660
Orange, CA 92868
Phone (714) 296-6921

1120 W La Veta Ave
Ste 660470
Orange, CA 92868
Phone (714) 501-2046

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1649440470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684244",
            "telephone_number": "714-509-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660&470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-509-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Columbine Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927074404",
            "country_code": "US",
            "telephone_number": "714-549-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERHARD VEIRA",
        "first_name": "CAROLINA",
        "middle_name": "DANIELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW73541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "EBERHARD",
            "middle_name": "DANIELA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.