MR. JIMMY CABRERA JR. (NPI# 1629327242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629327242 |
| Entity Type | Individual |
| Full Name | MR. JIMMY CABRERA JR. |
| Credential | MSW, LCSW |
| Practice Address |
450 Bauchet St Los Angeles CA 90012-2907 |
| Mailing Address |
Po Box 50315 Los Angeles CA 90050-0202 |
| Practice Telephone | 2138935475 |
| Mailing Telephone | 8057144728 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW62465 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW79248 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20902 Denker Ave, Torrance, CA 905012329 | 3109383500 | 3103377413 |
| Street Address |
450 BAUCHET ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841214269 | Los Angeles County Department of Mental Health | Clinic/Center | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2006-07-27 |
| 1265031678 | Lorena Langie-sidahmed | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-10-19 |
| 1508476292 | Nahirobi Jasmin Madrid Antunez | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-08-06 |
| 1902415623 | Prince Bedford Acquah | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-28 |
| 1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
| 1861019226 | Takeisa Denise Crowder | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-01 |
| 1649894320 | Trini Mong Bui | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-29 |
| 1568086221 | Hanh Minh Phu | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-28 |
| 1124641998 | Edwin Torres | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-27 |
| 1942821665 | Ann Olufunke Carter | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
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|---|---|---|---|---|
| 1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
| 1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
| 1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
| 1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
| 1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
| 1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
| 1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
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| 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.