Individual provider Active NPI

Genevie Ulloa, LCSW

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1932749363
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102047 Issued in CA
Practice address
7211 Whittier Ave
Whittier, CA 90602-1123
Phone
(562) 789-3000
NPI assigned
Jan 14, 2020
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ASW77217CAMDSocial Worker
102047CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier City Elementary School District PastSince Apr 17, 2022 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.

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.

Verify at the official NPI Registry.