Active NPI
Nancy De la Torre, LCSW
- Clinical Social Worker
- Pacoima, CA
National Provider Identifier
1902297369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW97910
- Practice address
- 12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732 - Phone
- (818) 896-2255
- NPI assigned
- Feb 6, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW71999 | CA | |
| Clinical Social Worker | 1041C0700X | 97910 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW97910 | CA | Primary |
Addresses
Primary practice location
12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732
Mailing address
100 W Walnut St Ste 375
Pasadena, CA 91103-3744
Phone (626) 395-7100
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 |
|---|---|---|---|
| ASW71999 | CA | MD | Social Worker |
| 97910 | CA | MD | Clinical Social Worker |
| LCSW97910 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1902297369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W WALNUT ST STE 375",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033744",
"telephone_number": "626-395-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD STE 201",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913316732",
"telephone_number": "818-896-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE",
"first_name": "NANCY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW71999",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "97910",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW97910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.