Carlos Paul Duarte, Licensed Clinical Social Worker Corp.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CARLOS PAUL DUARTE, LICENSED CLINICAL SOCIAL WORKER CORP.

Practice address

655 N Central Ave Ste 1704
Glendale, CA 91203-1422

Phone

(818) 839-2232

NPI assigned

Feb 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos Paul Duarte II, LCSWNPI 1487009916

Title

Owner

Phone

(818) 839-2232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Paul Duarte II, MSW

  • Clinical Social Worker
  • Granada Hills, CA
  • NPI 1487009916
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1750974069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 GLENDALE BLVD STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391806",
            "telephone_number": "818-839-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE STE 1704",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031422",
            "telephone_number": "818-839-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS PAUL DUARTE, LICENSED CLINICAL SOCIAL WORKER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-839-2232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.