Individual provider Active NPI

Hillary Caron Alejo, LCSW

  • Clinical Social Worker
  • Davis, CA
National Provider Identifier
1972817849
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24373 Issued in CA
Practice address
1712 Picasso Ave Ste a
Davis, CA 95618-0546
Phone
(510) 502-2402
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24373 CA Primary

Addresses

Primary practice location

1712 Picasso Ave Ste a
Davis, CA 95618-0546

Mailing address

1712 Picasso Ave Ste a
Davis, CA 95618-0546
Phone (510) 502-2402

Other practice location 1

3119 Evening Bay Pl
Davis, CA 95616-2717
Phone (530) 756-6749

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
24373CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1972817849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180546",
            "telephone_number": "510-502-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180546",
            "telephone_number": "510-502-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3119 Evening Bay Pl",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956162717",
            "country_code": "US",
            "telephone_number": "530-756-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEJO",
        "first_name": "HILLARY",
        "middle_name": "CARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.