Vivianne Madrigal
Social Worker, Clinical in Carson, CA. Individual provider (NPI-1).
NPI number1669964748
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1669964748
- Entity type
- Individual (NPI-1)
- Name
- Vivianne Madrigal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW117705 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | ACSW92387 | CA | |
| 104100000X | Social Worker | ACSW92387 | CA |
Practice location
649 E Albertoni St Ste 100Carson, CA 90746-1538
Phone 310-436-9300
Mailing address
649 E Albertoni St Ste 100Carson, CA 90746-1538
Phone 310-436-9300
Other practice locations
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Los Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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