Active NPI
Angelica Pelayo-Hicklin
- Clinical Social Worker
- Sylmar, CA
National Provider Identifier
1700207206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 75353
- Practice address
- 16350 Filbert St
Sylmar, CA 91342-1002 - Phone
- (818) 364-2152
- Fax
- (818) 362-3446
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 75353 | CA | |
| Clinical Social Worker | 1041C0700X | 75353 | CA | Primary |
Addresses
Primary practice location
16350 Filbert St
Sylmar, CA 91342-1002
Mailing address
16350 Filbert St
Sylmar, CA 91342-1002
Phone (818) 364-2152
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7420 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 6758 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apelayohicklin@dmh.lacounty.gov | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 75353 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1700207206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16350 FILBERT ST",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421002",
"telephone_number": "818-364-2152",
"fax_number": "818-362-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16350 FILBERT ST",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421002",
"telephone_number": "818-364-2152",
"fax_number": "818-362-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAYO-HICKLIN",
"first_name": "ANGELICA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW 75353",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7420",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7068",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6758",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apelayohicklin@dmh.lacounty.gov",
"affiliation": "N",
"endpointDescription": "work e-mail address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "16350 Filbert St",
"city": "Sylmar",
"state": "CA",
"country_code": "US",
"postal_code": "913421002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.