Talia Derogatis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107711 Issued in CA

Practice address

302 E Manchester Blvd # 203
Inglewood, CA 90301-1815

Phone

(323) 383-8586

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soco Rey Therapy, a Licensed Clinical Social Worker Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inglewood, CA
  • NPI 1700448453
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1801599774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E MANCHESTER BLVD # 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011815",
            "telephone_number": "323-383-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E MANCHESTER BLVD # 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011815",
            "telephone_number": "323-383-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROGATIS",
        "first_name": "TALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Veronica Delpino
• Delta Dermatology Medical Group
• Mary Catherine Dempsey
• Denise a. Albury M.D., Inc.
• John Dennem
• Destiny Home Health Services, Inc.
• Destiny Hospice Care
• Destiny Medical Equipment
• Detection & Treatment Resources, Inc
• Development Specialty Project, Inc.

• Clinical Social Worker in Inglewood, CA
• Providers in Inglewood, 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 Mar 22, 2023; 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.