Heather Joy Avila
Individual provider Active NPI Clinical Social Worker · La Palma, CA
NPI 1962867705 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1962867705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 95875 (CA)
- Practice address
- 20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562 - Phone
- (657) 325-8313
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424001439 | CA | Practitioner - Clinical Social Worker | 9638519630 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95875 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current |
Accepting new patients | |
| Telecare Corporation | Current |
Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current |
Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140
12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934
20 Centerpointe Dr
Ste 130
La Palma, CA 90623
Phone (657) 325-8313
6 Centerpointe Dr
Ste 700
La Palma, CA 90623
Phone (213) 331-7774
23161 Mill Creek Dr
Ste 230
Laguna Hills, CA 92653
Phone (949) 264-5350
1910 N Bush St
Santa Ana, CA 92706
Phone (714) 361-4860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 95875 | CA | Yes |
Addresses
Primary practice location
20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Mailing address
20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Phone (657) 325-8313
Other practice location 1
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (714) 361-7950
Other practice location 2
6 Centerpointe Dr Ste 700
LA Palma, CA 90623-2545
Phone (657) 325-8313
Other providers in La Palma, CA
- Jennifer Marie Arnold
- Sharon Lynn Arnold
- Idhaly Arostegui
- Arthritis and Osteoporosis Medical Center, Inc
- Jacqueline Margaret Atwood
- Lynn Azpeitia
- Dollen Azzam
- Valerie Elizabeth Babisky
- Jimmy Bae
- Jared Anthony Baltazar
All providers in La Palma, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.