Active NPI
Alisandra Renee Vasquez-Lopez, MSW, LCSW
- Clinical Social Worker
- South Pasadena, CA
National Provider Identifier
1912242702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 74247
- Practice address
- 1499 Huntington Dr Ste 101
South Pasadena, CA 91030-5444 - Phone
- (626) 403-4370
- NPI assigned
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 74247 | CA | Primary |
Addresses
Primary practice location
1499 Huntington Dr Ste 101
South Pasadena, CA 91030-5444
Mailing address
2629 Clarendon Ave
2ND Floor
Huntington Park, CA 90255-4119
Phone (323) 584-3700
Other names 1
- Ms. Alisandra Renee Vasquez
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients | |
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba San Antonio Family Center - FSP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntington Park, CA
- NPI 1184553661
-
dba Mental Health Court Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Pasadena, CA
- NPI 1285648832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1912242702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 CLARENDON AVE",
"address_2": "2ND FLOOR",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554119",
"telephone_number": "323-584-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 HUNTINGTON DR STE 101",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910305444",
"telephone_number": "626-403-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ-LOPEZ",
"first_name": "ALISANDRA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "74247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISANDRA",
"last_name": "VASQUEZ",
"middle_name": "RENEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.