Individual provider Active NPI

Zelalem B Hagos

  • Clinical Social Worker
  • Bellflower, CA
National Provider Identifier
1679660625
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 19363 Issued in CA
Practice address
17800 Woodruff Ave
Suite F
Bellflower, CA 90706-7029
Phone
(562) 866-8956
Fax
(562) 461-2893
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 19363 CA Primary
Clinical Social Worker 1041C0700X 29417 CA

Addresses

Primary practice location

17800 Woodruff Ave
Suite F
Bellflower, CA 90706-7029

Mailing address

15545 Bellflower Blvd
Suite F
Bellflower, CA 90706-3859
Phone (562) 866-8956

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
ASW 19363CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1679660625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 BELLFLOWER BLVD",
            "address_2": "SUITE F",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063859",
            "telephone_number": "562-866-8956",
            "fax_number": "562-461-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE",
            "address_2": "SUITE F",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067029",
            "telephone_number": "562-866-8956",
            "fax_number": "562-461-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOS",
        "first_name": "ZELALEM",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 19363",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.