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ANIELKHA MERCEDES JIMENEZ TIJERINO LCSW96417 NPI 1790055085


NPI Information

NPI: 1790055085
Provider Name: ANIELKHA MERCEDES JIMENEZ TIJERINO, LCSW96417
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
901 WILSHIRE BLVD FL 1
SANTA MONICA, CA
ZIP 90401
Phone: (310) 829-8945
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Anielkha Mercedes Jimenez Tijerino, LCSW96417 is a clinical social worker in Santa Monica, CA. The provider is 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. Anielkha Mercedes Jimenez Tijerino, LCSW96417 NPI is 1790055085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 WILSHIRE BLVD FL 1
SANTA MONICA, CA
ZIP 90401-854
Phone: (310) 829-8945
Fax: (424) 212-5934

The NPI 1790055085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 11/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health1041C0700XCALIFORNIANo
21041C0700XSocial WorkerClinicalLCSW96417CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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