Active NPI
Samantha Velazquez
- Clinical Social Worker
- Irwindale, CA
National Provider Identifier
1821583378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW130685
- Practice address
- 13001 Ramona Blvd Ste a
Irwindale, CA 91706-3752 - Phone
- (626) 373-2900
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100150 | CA | |
| Peer Specialist | 175T00000X | |||
| Clinical Social Worker | 1041C0700X | LCSW130685 | CA | Primary |
Addresses
Primary practice location
13001 Ramona Blvd Ste a
Irwindale, CA 91706-3752
Mailing address
940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800
Other practice location 1
9829 Carmenita Rd Ste H
Whittier, CA 90605-3262
Phone (562) 907-7429
Other practice location 2
1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone (866) 740-6502
Other names 1
- Samantha Mena
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 |
|---|---|---|---|
| LCSW130685 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1821583378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052711",
"telephone_number": "323-543-2800",
"fax_number": "323-978-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE A",
"city": "IRWINDALE",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "626-373-2900"
}
],
"practiceLocations": [
{
"address_1": "9829 Carmenita Rd Ste H",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906053262",
"country_code": "US",
"telephone_number": "562-907-7429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 S Olive St Ste 1400",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900152871",
"country_code": "US",
"telephone_number": "866-740-6502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "100150",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW130685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "MENA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irwindale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.