Active NPI
Rebeca Marcela Hurtado, MSW
- Clinical Social Worker
- Glendora, CA
National Provider Identifier
1932390374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 725 S Grand Ave
Glendora, CA 91740-4141 - Phone
- (626) 691-1857
- Fax
- (626) 691-1178
- NPI assigned
- Aug 8, 2007
- Last updated
- Feb 25, 2013
- 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 | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
725 S Grand Ave
Glendora, CA 91740-4141
Mailing address
725 S Grand Ave
Glendora, CA 91740-4141
Phone (626) 691-1857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS28276 | Other | CA | LCSW |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Specialized Foster Care Glendora
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendora, CA
- NPI 1831338193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1932390374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404141",
"telephone_number": "626-691-1857",
"fax_number": "626-691-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404141",
"telephone_number": "626-691-1857",
"fax_number": "626-691-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO",
"first_name": "REBECA",
"middle_name": "MARCELA",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "LCS28276",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.