Ruben Arancibia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

72810 Issued in CA

Practice address

302 W 5TH St Ste 308
San Pedro, CA 90731-2750

Phone

(424) 570-6955

Fax

(424) 363-1721

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Epiphany Counseling, Consulting & Treatment Services, PC

  • Clinical Social Worker
  • San Pedro, CA
  • NPI 1376922328
  NPD (past)

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1912456583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST STE 308",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312750",
            "telephone_number": "424-570-6955",
            "fax_number": "424-363-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST STE 308",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312750",
            "telephone_number": "424-570-6955",
            "fax_number": "424-363-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANCIBIA",
        "first_name": "RUBEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel George Angelow, M.D.
• Janet Angulo
• Jeremy Anuntiyo, MD
• Michael Appy
• Ruth Irene Aramaki, DDS
• Alejandra Arceo
• Christine Louise Archer
• Gia Arcillas
• Allison Arkfeld, B.S., M.F.T. TRAINEE
• Arlyn Inc

• Clinical Social Worker in San Pedro, CA
• Providers in San Pedro, 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 Sep 23, 2016; 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.