Individual provider Active NPI

Elena Catherine Wash, MSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1902261258
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88505 Issued in CA
Practice address
470 E 3Rd St Ste C
Los Angeles, CA 90013
Phone
(213) 620-5712
NPI assigned
Dec 30, 2015
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 ASW66779 CA
Clinical Social Worker 1041C0700X 88505 CA Primary

Addresses

Primary practice location

470 E 3Rd St Ste C
Los Angeles, CA 90013

Mailing address

470 E 3Rd St Ste C
Los Angeles, CA 90013-1630

Other practice location 1

5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone (562) 673-4739

Other practice location 2

5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone (562) 673-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210308002667 CA Practitioner - Clinical Social Worker 4385050889 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW66779CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Nov 28, 2020 Accepting new patients
Gateways Hospital & Mental Health Center CurrentSince Sep 15, 2025 Accepting new patients
Gateways Hospital & Mental Health Center CurrentSince Sep 15, 2025 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Nov 28, 2020 Accepting new patients

Locations

1891 Effie St
Los Angeles, CA 90026

470 E 3rd St
Ste C
Los Angeles, CA 90013
Phone (213) 620-4712

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

Organizations & group practices 5

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1902261258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013",
            "telephone_number": "213-620-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908056510",
            "country_code": "US",
            "telephone_number": "562-673-4739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908056510",
            "country_code": "US",
            "telephone_number": "562-673-4739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASH",
        "first_name": "ELENA",
        "middle_name": "CATHERINE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW66779",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.