NPIMap

Individual provider Active NPI

Caroline Anissa Blackwell, L.C.S.W.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1881833929
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21847 Issued in CA
Practice address
4701 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209
Phone
(323) 881-3799
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 21847 CA
Clinical Social Worker 1041C0700X LCS 21847 CA Primary

Addresses

Primary practice location

4701 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209

Mailing address

1055 Corporate Center Dr Ste 430
Monterey Park, CA 91754-7668
Phone (323) 526-4016

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

LicenseStateTypeSpecialty
LCS 21847CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services Clinical PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients
Alma Family Services PastSince Jan 20, 2010 Accepting new patients

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1881833929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CORPORATE CENTER DR STE 430",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547668",
            "telephone_number": "323-526-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-881-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "CAROLINE",
        "middle_name": "ANISSA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 21847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21847",
            "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 Feb 12, 2009; 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.