Ariel Escobedo, Licensed Clinical Social Worker Inc.
Organization Active NPI Community/Behavioral Health Agency · South Gate, CA
NPI 1659015162 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1659015162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ARIEL ESCOBEDO, LICENSED CLINICAL SOCIAL WORKER INC.
- Practice address
- 10320 Jackson Ave
South Gate, CA 90280-6904 - Phone
- (818) 554-6272
- NPI assigned
- Apr 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Ariel Escobedo, LCSW
- Title
- President
- Phone
- (818) 554-6272
Practitioners 1
-
Ariel Escobedo, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220428002531 | CA | Part B Supplier - Clinic/Group Practice | 9436546009 |
Receives reassigned benefits from 1 practitioner Practice locations: South Gate, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
10320 Jackson Ave
South Gate, CA 90280-6904
Mailing address
10320 Jackson Ave
South Gate, CA 90280-6904
Phone (818) 554-6272
Other providers in South Gate, CA
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- Madoka Arai Barrientos
- Aram Karageozyan
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- Ardy Hakhamian, D.D.S. Inc.
- Rafael Arteaga
- Arturo Castellanos Dental Group Corporation
- Hugo Raziel Asurza
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- Atlantic Recovery Services
All providers in South Gate, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.