Individual provider Active NPI

Gabriella Caprice Cuaderes

  • Clinical Social Worker
  • North Hollywood, CA
National Provider Identifier
1881118545
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109348 Issued in CA
Practice address
11917 Vose St
North Hollywood, CA 91605
Phone
(818) 280-9643
NPI assigned
Aug 3, 2017
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 109348 CA Primary

Addresses

Primary practice location

11917 Vose St
North Hollywood, CA 91605

Mailing address

1041 N Grand Ave # 222
Covina, CA 91724-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250423000875 CA Practitioner - Clinical Social Worker 1254856172 Reassigns benefits to 1 organization
I20250522003306 NM Practitioner - Clinical Social Worker 1254856172 Reassigns benefits to 1 organization
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Mar 18, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 30, 2025 Accepting new patients
A Safe Space to Heal, L.C Clinical Current Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1016 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 226-4561

3167 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 286-0654

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

Organizations & group practices 3

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1881118545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N GRAND AVE # 222",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 VOSE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "818-280-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADERES",
        "first_name": "GABRIELLA",
        "middle_name": "CAPRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.