Individual provider Active NPI

Araceli Allie, LCSW

  • Clinical Social Worker
  • Culver City, CA
National Provider Identifier
1699825968
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081210-1 Issued in NY
Practice address
4616 Maytime LN
Culver City, CA 90230-5062
Phone
(213) 422-3208
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 70808 CA
Social Worker 104100000X
Clinical Social Worker 1041C0700X 081210-1 NY Primary

Addresses

Primary practice location

4616 Maytime LN
Culver City, CA 90230-5062

Mailing address

4616 Maytime LN
Culver City, CA 90230-5062
Phone (213) 422-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20260213000574 CA Practitioner - Clinical Social Worker 3072749613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4816 E 3Rd St
Los Angeles, CA 90022-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70808CAMDClinical Social Worker
081210NYMDClinical Social Worker
081210-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jan 28, 2026 Accepting new patients
Gracelight Community Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1699825968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 MAYTIME LN",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305062",
            "telephone_number": "213-422-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 MAYTIME LN",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305062",
            "telephone_number": "213-422-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIE",
        "first_name": "ARACELI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70808",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.