ELLE SAN JUAN · Social Worker (Clinical)

Address: 427 Redfield Ave, Los Angeles, CA 90042

ELORA PATRICE SAN JUAN (NPI# 1265023402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265023402
Entity Type Individual
Other Name ELLE SAN JUAN (Other Name)
Gender Female
Credential LCSW
Practice Address 427 Redfield Ave
Los Angeles
CA 90042
Practice Telephone 4083483539
Mailing Address 3785 Po Box 1001 Fremont Ave
South Pasadena
CA 91030-9998
Mailing Telephone 4083483539
Certification Date 2021-01-31
Enumeration Date 2021-01-31
Last Update Date 2021-01-31
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
94668 CA Behavioral Health & Social Service Providers

Office Location

Street Address 427 REDFIELD AVE
State CA
Zip Code 90042

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1750978409 Eric Woolridge 351 E Temple St # A404, Los Angeles, CA 90012-3328 2020-12-29
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1437746732 Denise Kee-White 6716 S Garth Ave, Los Angeles, CA 90056-2206 2020-12-21
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.