Individual provider Active NPI

Analorence Polanco, ACSW 76768

  • Clinical Social Worker
  • Bellflower, CA
National Provider Identifier
1851005359
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76768 Issued in CA
Practice address
17814 Woodruff Ave Ste 3
Bellflower, CA 90706-7000
Phone
(562) 925-3700
Fax
(562) 925-3705
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 76768 CA Primary

Addresses

Primary practice location

17814 Woodruff Ave Ste 3
Bellflower, CA 90706-7000

Mailing address

PO Box 697
Bellflower, CA 90707-0697
Phone (562) 925-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address a.polanco@tlc4counseling.com Direct Transforming Life Center, Inc

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
76768CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transforming Life Center, Inc CurrentSince Jan 15, 2023 Accepting new patients

Locations

17814 Woodruff Ave
Ste 3
Bellflower, CA 90706
Phone (562) 925-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1851005359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907070697",
            "telephone_number": "562-925-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 WOODRUFF AVE STE 3",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067000",
            "telephone_number": "562-925-3700",
            "fax_number": "562-925-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "ANALORENCE",
        "credential": "ACSW 76768",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.polanco@tlc4counseling.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Transforming Life Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17814 Woodruff Ave Ste 3",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907067000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.