Active NPI
Social Model Recovery Systems
- Clinical Social Worker
- El Monte, CA
National Provider Identifier
1669937124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOCIAL MODEL RECOVERY SYSTEMS
- Practice address
- 11046 Main St
El Monte, CA 91731-2617 - Phone
- (266) 362-3706
- NPI assigned
- Feb 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Hernandez
- Title
- Director of Education and Training
- Phone
- (626) 625-5008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11046 Main St
El Monte, CA 91731-2617
Mailing address
11046 Main St
El Monte, CA 91731-2617
Phone (266) 362-3706
Other names 1
- Bimini recovery home
National Provider Directory
National Provider DirectoryLocations
155 Bimini Pl
Los Angeles, CA 90004
Phone (213) 388-1937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1114484177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1669937124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11046 MAIN ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312617",
"telephone_number": "266-362-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11046 MAIN ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312617",
"telephone_number": "266-362-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL MODEL RECOVERY SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-08",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "DIRECTOR OF EDUCATION AND TRAINING",
"authorized_official_telephone_number": "626-625-5008"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bimini recovery home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bimini recovery home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.