Active NPI
Claudia Consuelo Llamas
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1861773046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 96231
- Practice address
- 3517 Camino del Rio S Ste 407
San Diego, CA 92108-4028 - Phone
- (619) 955-8905
- Fax
- (619) 955-8906
- NPI assigned
- Sep 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 96231 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW60908 | CA |
Addresses
Primary practice location
3517 Camino del Rio S Ste 407
San Diego, CA 92108-4028
Mailing address
3517 Camino del Rio S Ste 407
San Diego, CA 92108-4028
Phone (619) 955-8905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37FF | Other | CA | MEDI-CAL PROVIDER |
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 |
|---|---|---|---|
| ASW60908 | CA | MD | Mental Health Counselor |
| 96231 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Services LLC | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tustin, CA
- NPI 1396436077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1861773046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 CAMINO DEL RIO S STE 407",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084028",
"telephone_number": "619-955-8905",
"fax_number": "619-955-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 CAMINO DEL RIO S STE 407",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084028",
"telephone_number": "619-955-8905",
"fax_number": "619-955-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLAMAS",
"first_name": "CLAUDIA",
"middle_name": "CONSUELO",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96231",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW60908",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER",
"identifier": "37FF",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.