Individual provider Active NPI

Elizabeth Nunez Escamilla, ASW

  • Clinical Social Worker
  • Gardena, CA
National Provider Identifier
1922871409
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW89540 Issued in CA
Practice address
1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644
Phone
(562) 774-4398
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW89540 CA Primary

Addresses

Primary practice location

1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644

Mailing address

1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644
Phone (562) 774-4398

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

LicenseStateTypeSpecialty
ASW89540CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1922871409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "562-774-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "562-774-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ ESCAMILLA",
        "first_name": "ELIZABETH",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW89540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.