CMS-1500 Box 24J / 33a • NPI
1215407697
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
104100000X
Licensed & Credentialed Social Worker
Box 32 Service Location & ZIP+4
4760 SEPULVEDA BLVD, CULVER CITY, CA, 90230-4820
✓ 9-Digit EDI 837 ZIP+4 (90230-4820)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215407697 (CAROLINA ALEJO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215407697 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CAROLINA ALEJO |
| Plain-English Specialty | Licensed & Credentialed Social Worker NUCC Code: 104100000X (Social Worker) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4760 SEPULVEDA BLVD, CULVER CITY, CA, 90230-4820 |
| Practice Telephone / Fax | Tel: (310) 390-6612 | Fax: (310) 398-5690 |
| Administrative Mailing Address | 1540 E COLORADO ST, GLENDALE, CA, 91205-1514 |
| Enumeration & Last Sync | Enumerated: 2018-11-28 | CMS Record Updated: 2026-09-29 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (104100000X)
What Does Taxonomy Code 104100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CAROLINA ALEJO)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: CA | License: ASW109556 | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: N/A | License: Verified | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: CA | License: ASW109556 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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