Condor Center for Trauma Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONDOR CENTER FOR TRAUMA THERAPY

Practice address

8021 9TH St Apt C9
Buena Park, CA 90621-4411

Phone

(323) 528-4846

Fax

(323) 597-3022

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Joanna Amenero, LCSW

Title

Bilingual

Phone

(323) 528-4846

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1891313722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 9TH ST APT C9",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214411",
            "telephone_number": "323-528-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 9TH ST APT C9",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214411",
            "telephone_number": "323-528-4846",
            "fax_number": "323-597-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDOR CENTER FOR TRAUMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "AMENERO",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILINGUAL",
        "authorized_official_telephone_number": "323-528-4846",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.