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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)