Organization Active NPI

Center for Clinical Innovations and Wellness, Inc.

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1649762444
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21031 Issued in CA
Legal business name
CENTER FOR CLINICAL INNOVATIONS AND WELLNESS, INC.
Practice address
13601 Whittier Blvd Ste 308-309
Whittier, CA 90605
Phone
(562) 623-1211
Fax
(562) 623-1211
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Stephanie Machado-Jenkins, LCSW
Title
Owner/Therapist
Phone
(562) 623-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 21031 CA Primary

Addresses

Primary practice location

13601 Whittier Blvd Ste 308-309
Whittier, CA 90605

Mailing address

13601 Whittier Blvd Ste 308-309
Whittier, CA 90605-1902
Phone (562) 623-1211

National Provider Directory

National Provider Directory

Locations

13601 Whittier Blvd
Ste 308309
Whittier, CA 90605
Phone (562) 623-1211

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1649762444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 WHITTIER BLVD STE 308-309",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051902",
            "telephone_number": "562-623-1211",
            "fax_number": "562-623-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 WHITTIER BLVD STE 308-309",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90605",
            "telephone_number": "562-623-1211",
            "fax_number": "562-623-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CLINICAL INNOVATIONS AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "MACHADO-JENKINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "562-623-1211",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.