Active NPI
Angelica M Palencia
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1730867458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW131680
- Practice address
- 615 Kohler St
Los Angeles, CA 90021-1023 - Phone
- (213) 620-5712
- NPI assigned
- Jul 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | ASW131680 | CA | Primary |
Addresses
Primary practice location
615 Kohler St
Los Angeles, CA 90021-1023
Mailing address
615 Kohler St
Los Angeles, CA 90021-1023
Other practice location 1
9864 Baldwin Place
El Monte, CA 91731-2202
Phone (626) 433-1311
Other practice location 2
9901 Artesia Blvd
Bellflower, CA 90706-6713
Phone (562) 484-3385
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW131680 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1730867458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 KOHLER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 KOHLER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211023",
"telephone_number": "213-620-5712"
}
],
"practiceLocations": [
{
"address_1": "9864 Baldwin Place",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917312202",
"country_code": "US",
"telephone_number": "626-433-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9901 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907066713",
"country_code": "US",
"telephone_number": "562-484-3385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALENCIA",
"first_name": "ANGELICA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW131680",
"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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.