SOCIAL MODEL RECOVERY SYSTEMS, INC. (NPI# 1821086976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821086976 |
| Entity Type | Organization |
| Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Practice Address |
360 S Westlake Ave Los Angeles CA 90057-2906 |
| Mailing Address |
223 E Rowland St Covina CA 91723-3147 |
| Practice Telephone | 2134839201 |
| Practice Fax Number | 2133531740 |
| Mailing Telephone | 6263323145 |
| Mailing Fax Number | 6269744164 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | DAWN DADES (SENIOR CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6263323145 |
| Authorized Official Credential | MA, MFT |
| Is Organization Subpart | Y |
| Parent Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190008BN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1124306386 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2011-07-21 |
| 1740469113 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4610 Santa Anita Ave Ste D, El Monte, CA 91731-1295 | 2007-11-01 |
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1497834089 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 223 E Rowland St, Covina, CA 91723-3147 | 2006-11-03 |
| 1851389993 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2005-10-12 |
| 1922096072 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2005-10-12 |
| 1295004224 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2011-12-20 |
| 1407134158 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 3430 Cogswell Rd, El Monte, CA 91732-2785 | 2011-07-29 |
| Street Address |
360 S WESTLAKE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089684 | David Lyle Carver | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-10-04 |
| 1073123113 | Michelle Renee Reynolds | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-08-04 |
| 1457972069 | Raul Adam Lopez | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-05-05 |
| 1326672197 | Patricia Joan Patillo | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-03-02 |
| 1598397952 | Michelle Anders | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-02-04 |
| 1871124172 | Gabrielle Price | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-27 |
| 1518597723 | Ivan Josue Vargas Sr. | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-16 |
| 1710527635 | Kelly Raye Saldivar | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-08 |
| 1104466143 | Amber Marie Hansen-garcia | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-07 |
| 1134768278 | Laurie Marie Holmond | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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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.