Active NPI
Genevie Ulloa, LCSW
- Clinical Social Worker
- Whittier, CA
National Provider Identifier
1932749363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102047
- Practice address
- 7211 Whittier Ave
Whittier, CA 90602-1123 - Phone
- (562) 789-3000
- NPI assigned
- Jan 14, 2020
- Last updated
- Apr 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW77217 | CA | |
| Clinical Social Worker | 1041C0700X | 102047 | CA | Primary |
Addresses
Primary practice location
7211 Whittier Ave
Whittier, CA 90602-1123
Mailing address
4902 Acacia Ave
Pico Rivera, CA 90660-2302
Phone (562) 217-5512
Other practice location 1
1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000 ext. 338
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 |
|---|---|---|---|
| ASW77217 | CA | MD | Social Worker |
| 102047 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whittier City Elementary School District | 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.
-
- Local Education Agency (LEA)
- Whittier, CA
- NPI 1144378803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1932749363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 ACACIA AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602302",
"telephone_number": "562-217-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 WHITTIER AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021123",
"telephone_number": "562-789-3000"
}
],
"practiceLocations": [
{
"address_1": "1891 Effie St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900261711",
"country_code": "US",
"telephone_number": "323-644-2000 x338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULLOA",
"first_name": "GENEVIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW77217",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "102047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.