Individual provider Active NPI

Yeniss Araceli Paez

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1962832261
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW98231 Issued in CA
Practice address
5420 N Figueroa St
Los Angeles, CA 90042-4118
Phone
(323) 256-3884
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 ASW77384 CA
Clinical Social Worker 1041C0700X LCSW98231 CA Primary

Addresses

Primary practice location

5420 N Figueroa St
Los Angeles, CA 90042-4118

Mailing address

8322 Eglise Ave
Pico Rivera, CA 90660-5222
Phone (323) 810-8609

Other practice location 1

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 221-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310000883 CA Practitioner - Clinical Social Worker 1658787064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW77384CAMDSocial Worker
LCSW98231CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Community Clinic CurrentSince Feb 4, 2021 Accepting new patients
Northeast Community Clinic CurrentSince Feb 4, 2021 Accepting new patients
Northeast Community Clinic Current Accepting new patients

Locations

2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900

5420 N Figueroa St
Los Angeles, CA 90042
Phone (323) 256-3884

1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1962832261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 EGLISE AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605222",
            "telephone_number": "323-810-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424118",
            "telephone_number": "323-256-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Hughes Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908101878",
            "country_code": "US",
            "telephone_number": "310-221-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "YENISS",
        "middle_name": "ARACELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW77384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW98231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.