Alba Wellness Group, a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALBA WELLNESS GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194

Phone

(818) 406-8543

NPI assigned

May 25, 2022

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Alba, LCSWNPI 1124205885

Title

Ceo

Phone

(818) 406-8543

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Alba, LCSW

  • Clinical Social Worker
  • Panorama City, CA
  • NPI 1124205885
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1780322123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 400",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "818-406-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 400",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "818-406-8543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W Avenue J Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342955",
            "country_code": "US",
            "telephone_number": "818-406-8543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBA WELLNESS GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-406-8543",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.albawellnessgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14500 Roscoe Blvd Ste 400",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914024194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mustansar Akhtar, MD
• Susan Akopyan, RCP
• Maria Alaimo, MD
• Alan Charnelle MD (Panorama Professional Medical Group)
• Joe A. Alanis, MD
• Alba-Walker Life Strategies, a Licensed Clinical Social Worker Corpora
• Patricia Alba, LCSW
• Dina Albaree, DO
• Cristina Albarran, PHARMD
• Alejandra B Raftacco DDS a Professional Dental Corporation (Raibow Dental Health Care)

• Clinical Social Worker in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.