Active NPI
Everardo Juan Cabral, LCSW
- Clinical Social Worker
- Orange, CA
National Provider Identifier
1851554950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW29388
- Practice address
- 101 The City Dr S
BLDG. 3 Rte 88
Orange, CA 92868-3201 - Phone
- (714) 456-2924
- Fax
- (714) 456-2940
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW29388 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
BLDG. 3 Rte 88
Orange, CA 92868-3201
Mailing address
101 The City Dr S
BLDG. 3 Rte 88
Orange, CA 92868-3201
Phone (714) 456-2924
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW29388 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1851554950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"address_2": "BLDG. 3 RTE 88",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-2924",
"fax_number": "714-456-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"address_2": "BLDG. 3 RTE 88",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-2924",
"fax_number": "714-456-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRAL",
"first_name": "EVERARDO",
"middle_name": "JUAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW29388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.