Active NPI
Danyarel Crespo-Marruffo, LCSW
- Clinical Social Worker
- Mission Viejo, CA
National Provider Identifier
1790276434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121557
- Practice address
- 25910 Acero Ste 160
Mission Viejo, CA 92691-2777 - Phone
- (714) 966-8650
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW96188 | CA | |
| Social Worker | 104100000X | ASW96188 | CA | |
| Clinical Social Worker | 1041C0700X | 121557 | CA | Primary |
Addresses
Primary practice location
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Mailing address
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (714) 966-8650
Other practice location 1
3125 Myers St
Riverside, CA 92503-5527
Phone (310) 663-0402
Other practice location 2
855 N Euclid Ave
Ontario, CA 91762-2729
Phone (909) 983-2020
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 |
|---|---|---|---|
| ASW96188 | CA | MD | Mental Health Counselor |
| 121557 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1790276434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25910 ACERO STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912777",
"telephone_number": "714-966-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25910 ACERO STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912777",
"telephone_number": "714-966-8650"
}
],
"practiceLocations": [
{
"address_1": "3125 Myers St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925035527",
"country_code": "US",
"telephone_number": "310-663-0402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917622729",
"country_code": "US",
"telephone_number": "909-983-2020",
"fax_number": "909-983-6847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESPO-MARRUFFO",
"first_name": "DANYAREL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW96188",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW96188",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.