Active NPI
Judith a. Verduzco, Licensed Clinical Social Worker Prof. Corp.
- Clinical Social Worker
- La Crescenta, CA
National Provider Identifier
1982304531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JUDITH A. VERDUZCO, LICENSED CLINICAL SOCIAL WORKER PROF. CORP.
- Practice address
- 3156 Foothill Blvd Ste C
La Crescenta, CA 91214-4261 - Phone
- (818) 741-1221
- Fax
- (818) 688-8020
- NPI assigned
- Mar 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Alcira Verduzco, LCSW
- Title
- Ceo/ Mental Health Therapist
- Phone
- (818) 741-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
3156 Foothill Blvd Ste C
La Crescenta, CA 91214-4261
Mailing address
3156 Foothill Blvd Ste C
La Crescenta, CA 91214-4261
Phone (818) 741-1221
Other names 1
- Monarchs Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3156 Foothill Blvd
Ste C
La Crescenta, CA 91214
Phone (818) 741-1221
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- La Crescenta, CA
- NPI 1053825471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682035200000",
"number": "1982304531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3156 FOOTHILL BLVD STE C",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912144261",
"telephone_number": "818-741-1221",
"fax_number": "818-688-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3156 FOOTHILL BLVD STE C",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912144261",
"telephone_number": "818-741-1221",
"fax_number": "818-688-8020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH A. VERDUZCO, LICENSED CLINICAL SOCIAL WORKER PROF. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "VERDUZCO",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "ALCIRA",
"authorized_official_title_or_position": "CEO/ MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "818-741-1221",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Monarchs Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Monarchs Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.