Derek James Baldridge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW79801 Issued in CA

Practice address

1522 E 102ND St
Los Angeles, CA 90002-3338

Phone

(213) 385-5100

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841548948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E 102ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E 102ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023338",
            "telephone_number": "213-385-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 E Wardlow Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074628",
            "country_code": "US",
            "telephone_number": "562-981-9392",
            "fax_number": "562-981-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDRIDGE",
        "first_name": "DEREK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Baldioli, PT
• Pamela Sue Baldivia, FNP
• Fatima Carmen Baldizon
• Savannah Baldonado
• Bryant Baldorado
• Baldwin Hills Crenshaw Urgent Care
• Baldwin Hills Dialysis Center
• Baldwin Hills Emergency Physicians
• Baldwin Hills Pediatrics Inc
• Curtis Austin Baldwin

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 17, 2018; 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.