Active NPI
Yeniss Araceli Paez
- Clinical Social Worker
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW98231
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW77384 | CA | MD | Social Worker |
| LCSW98231 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Community Clinic | Current | Accepting new patients | |
| Northeast Community Clinic | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, CA
- NPI 1700097540
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1124460274
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1275226334
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.