Active NPI
Judy Thach, LCSW
- Clinical Social Worker
- Montebello, CA
National Provider Identifier
1972837136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 70044
- Practice address
- 215 E Avenida de la Merced RM 108
Montebello, CA 90640-2752 - Phone
- (323) 887-5324
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 31753 | CA | |
| Clinical Social Worker | 1041C0700X | 70044 | CA | Primary |
Addresses
Primary practice location
215 E Avenida de la Merced RM 108
Montebello, CA 90640-2752
Mailing address
215 E Avenida de la Merced RM 108
Montebello, CA 90640-2752
Phone (323) 267-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70044 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1972837136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E AVENIDA DE LA MERCED RM 108",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402752",
"telephone_number": "323-267-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E AVENIDA DE LA MERCED RM 108",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402752",
"telephone_number": "323-887-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACH",
"first_name": "JUDY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "31753",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "70044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
- Ted K. Yu DDS, Inc
- Tender Loving Hospice Care, Inc.
- Daniel Rivera Tendido II
- Michael Robert Terk, MD
- Salvador Terrones, P.A-C.
- Anish Vipin Thakkar, AUD
- The Couples Therapy and Reunification Counseling Inc.
- The Whole Child - Mental Health & Housing Services
- The Whole Child - Mental Health & Housing Services
- Anais Jeanne Marie Florence Thiry-Dredge, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.