Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Evanculla

Individual provider Clinical Social Worker · NPI 1740840214

Jonathan Evanculla is a Clinical Social Worker in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 — (213) 241-3841

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 103106 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103106 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740840214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

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