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SOFIA SANTA CRUZ-POLAK LCSW
NPI 1407213952
Social Worker - Clinical in San Pedro, CA

Active since January 27, 2016PECOS EnrolledAccepts Medicare Assignment
150 W 7TH ST, SAN PEDRO, CA 90731(310) 519-6216 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2023, Mar 26, 2021, May 13, 2016 and 1 more (4 updates tracked since 2016).

About Sofia Santa Cruz-polak Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA SANTA CRUZ-POLAK LCSW (NPI 1407213952) is an individual clinical provider in San Pedro, California, licensed in California (LCSW92919) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407213952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOFIA SANTA CRUZ-POLAKCredential: LCSW
Location Address150 W 7TH STSan Pedro, CA 90731-3320
Mailing Address150 W 7th StSan Pedro, CA 90731-3320 · (310) 519-6216
Phone(310) 519-6216
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 27, 2016
Last NPPES UpdateFebruary 23, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1407213952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW92919
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
150 W 7TH ST, San Pedro, CA 90731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Santa Cruz-polak Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991116741
PECOS Enrollment IDI20201130000957
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sofia Santa Cruz-polak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles County Department Of Mental Health
1.4 mi
Mental Health (Including Community Mental Health Center)
1294 W. 6TH ST., 2ND FL
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1083343511 (323) 525-6400
Sunshine Mental Health Clinic Inc
18 mi
Clinical
5800 S EASTERN AVE STE 500
Commerce, CA 90040
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1588335087 (323) 868-4053

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA SUSAN GAUHAN
Counselor (Mental Health)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
LA COUNTY DEPARTMENT OF MENTAL HEALTH
Community/Behavioral Health
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6224
MS. LAURA MARIE NAVARRO PICKENS LCSW
Social Worker (Clinical)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
AGUEDA MENDOZA-BEARDSLEE LCSW
Social Worker (Clinical)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
ROBERTA LYNN VENEGAS
Case Manager/Care Coordinator
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
ORALIA RUBIO
Social Worker (Clinical)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
ALVIN JANG LCSW
Social Worker (Clinical)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-6100
MS. SARA JANE SANTILLAN
Social Worker (Clinical)
150 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-9687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Santa Cruz-polak's NPI number?

The NPI number for Sofia Santa Cruz-polak is 1407213952. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Sofia Santa Cruz-polak located?

Sofia Santa Cruz-polak practices at 150 W 7th St, San Pedro, CA 90731. The listed phone number is (310) 519-6216.

What is Sofia Santa Cruz-polak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sofia Santa Cruz-polak enrolled in Medicare?

Yes. Sofia Santa Cruz-polak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sofia Santa Cruz-polak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Santa Cruz-polak reassigns Medicare benefits to 2 organizations: Los Angeles County Department Of Mental Health (San Pedro, CA) and Sunshine Mental Health Clinic Inc (Commerce, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sofia Santa Cruz-polak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sofia Santa Cruz-polak was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.