Individual provider Active NPI

Leticia S Padilla

  • Clinical Social Worker
  • East Palo Alto, CA
National Provider Identifier
1669774311
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129309 Issued in CA
Practice address
2415 University Ave
East Palo Alto, CA 94303-1164
Phone
(650) 301-8620
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 104783 CA
Clinical Social Worker 1041C0700X 129309 CA Primary

Addresses

Primary practice location

2415 University Ave
East Palo Alto, CA 94303-1164

Mailing address

PO Box 905
Mountain View, CA 94042-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000024 CA Practitioner - Clinical Social Worker 4789102773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129309CAMDClinical Social Worker
104783CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo County Clinical CurrentSince Mar 1, 2025 Accepting new patients
County of San Mateo CurrentSince Mar 1, 2025 Accepting new patients
County of San Mateo Current Accepting new patients
San Mateo County Clinical PastSince Aug 28, 2022 Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

2415 University Ave
East Palo Alto, CA 94303
Phone (650) 363-4030

2415 University Ave
Ste 301
East Palo Alto, CA 94303
Phone (650) 363-4030

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 4

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1669774311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940420905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031164",
            "telephone_number": "650-301-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "LETICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "104783",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.