Active NPI
Elvis Rosales, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1700211414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88293
- Practice address
- 550 S Vermont Ave FL 10
Los Angeles, CA 90020-1912 - Phone
- (800) 854-7771
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88293 | CA | Primary |
Addresses
Primary practice location
550 S Vermont Ave FL 10
Los Angeles, CA 90020-1912
Mailing address
14624 Sherman Way FL 6
Van Nuys, CA 91405-2241
Phone (818) 988-6335
Other practice location 1
14624 Sherman Way Fl 6
Van Nuys, CA 91405-2241
Phone (818) 988-6335 ext. 50729
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 |
|---|---|---|---|
| 88293 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1700211414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY FL 6",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052241",
"telephone_number": "818-988-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S VERMONT AVE FL 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912",
"telephone_number": "800-854-7771"
}
],
"practiceLocations": [
{
"address_1": "14624 Sherman Way Fl 6",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914052241",
"country_code": "US",
"telephone_number": "818-988-6335 x50729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSALES",
"first_name": "ELVIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.