Active NPI
Luis Alberto Pena, LCSW
- Clinical Social Worker
- Norwalk, CA
National Provider Identifier
1750469748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS23490
- Practice address
- 12440 Imperial Hwy
Suite #116
Norwalk, CA 90650-3177 - Phone
- (626) 229-3602
- Fax
- (626) 497-5530
- NPI assigned
- Nov 1, 2006
- 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 | LCS23490 | CA | Primary |
Addresses
Primary practice location
12440 Imperial Hwy
Suite #116
Norwalk, CA 90650-3177
Mailing address
12440 Imperial Hwy
Suite #116
Norwalk, CA 90650-3177
Phone (626) 229-3602
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 |
|---|---|---|---|
| LCS23490 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750469748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 IMPERIAL HWY",
"address_2": "SUITE #116",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503177",
"telephone_number": "626-229-3602",
"fax_number": "626-497-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 IMPERIAL HWY",
"address_2": "SUITE #116",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503177",
"telephone_number": "626-229-3602",
"fax_number": "626-497-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "LUIS",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS23490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.