Elaine Kindle, PH.D., LCSW
Individual provider Active NPI Clinical Social Worker · Hacienda HTS, CA
NPI 1760413710 · NPPES record last updated Dec 29, 2011
Key facts
- NPI
- 1760413710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LL9096 (CA)
- Practice address
- 2211 S Hacienda Blvd
Suite 103-C
Hacienda HTS, CA 91745-4600 - Phone
- (626) 330-7990
- Fax
- (626) 855-5476
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2211 S Hacienda Blvd
Suite 103C
Hacienda Heights, CA 91745-4642
Phone (626) 330-7990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120620000315 | CA | Practitioner - Clinical Social Worker | 5395909584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL9096 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LL9096 | CA | Yes |
Addresses
Primary practice location
2211 S Hacienda Blvd
Suite 103-C
Hacienda HTS, CA 91745-4600
Mailing address
2211 S Hacienda Blvd
Suite 103-C
Hacienda HTS, CA 91745-4600
Phone (626) 330-7990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW9096 | Medicaid | CA |
Other providers in Hacienda HTS, CA
- Theresa Anita Handojo
- Jen-Kway Shen, M.D., Inc.
- Jimmy Wu Chiropractic Corp.
- Jerry Kuo-Cheng Kao
- Katy Chou DDS Inc
- Johnathon M Lee
- Mark W. Li
- Jane Lin Molina
- More More Home Health, Inc
- Madeleine Nguyen Ngo
All providers in Hacienda HTS, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.