Individual provider Active NPI

McKenna Clare Belgarde

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1841668498
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102600 Issued in CA
Practice address
1453 West Temple Street
Los Angeles, CA 90026-9002
Phone
(213) 202-3970
NPI assigned
Sep 11, 2015
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW71734 CA
Clinical Social Worker 1041C0700X 102600 CA Primary

Addresses

Primary practice location

1453 West Temple Street
Los Angeles, CA 90026-9002

Mailing address

1453 West Temple Street
Los Angeles, CA 90026-1896
Phone (213) 202-3970

Other practice location 1

1533 Euclid St
Santa Monica, CA 90404-3306
Phone (310) 451-9747

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

LicenseStateTypeSpecialty
ASW71734CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United American Indian Involvement Inc. PastSince May 1, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1841668498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 WEST TEMPLE STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261896",
            "telephone_number": "213-202-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 WEST TEMPLE STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900269002",
            "telephone_number": "213-202-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 Euclid St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043306",
            "country_code": "US",
            "telephone_number": "310-451-9747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELGARDE",
        "first_name": "MCKENNA",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW71734",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.