Active NPI
Bourne Inc
- Clinical Social Worker
- Altadena, CA
National Provider Identifier
1750287074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BOURNE INC
- Practice address
- 2235 Lake Ave Ste 212
Altadena, CA 91001-6041 - Phone
- (626) 797-9196
- Fax
- (626) 345-9970
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candice Clayton, LCSW
- Title
- Director of Clinicals Services
- Phone
- (626) 840-9793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2235 Lake Ave Ste 212
Altadena, CA 91001-6041
Mailing address
2235 Lake Ave Ste 212
Altadena, CA 91001-6041
Phone (626) 797-9196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1750287074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 LAKE AVE STE 212",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910016041",
"telephone_number": "626-797-9196",
"fax_number": "626-345-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 LAKE AVE STE 212",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910016041",
"telephone_number": "626-797-9196",
"fax_number": "626-345-9970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOURNE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "DIRECTOR OF CLINICALS SERVICES",
"authorized_official_telephone_number": "626-840-9793",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.