Active NPI
Natalie Anne Innocenzi, LCSW
- Clinical Social Worker
- Glendale, CA
National Provider Identifier
1003529843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW107626
- Practice address
- 1118 Newby St
Glendale, CA 91201-2209 - Phone
- (626) 818-0077
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW107626 | CA | Primary |
Addresses
Primary practice location
1118 Newby St
Glendale, CA 91201-2209
Mailing address
1118 Newby St
Glendale, CA 91201-2209
Phone (626) 818-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250106001940 | CA | Order and Referring Only - Clinical Social Worker | 4284162181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW107626 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- natalie.innocenzi.1@17371.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1003529843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 NEWBY ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012209",
"telephone_number": "626-818-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 NEWBY ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012209",
"telephone_number": "626-818-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNOCENZI",
"first_name": "NATALIE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW107626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
- Inner Healing Therapy, a Licensed Clinical Social Worker P.C.
- Inner Peace Home Health Care Services, Inc.
- Inner Peace Hospice Care, Inc.
- Innerbloom Mental Health
- Innermovement Wellness & Acupuncture a Prof Corp (InnerMovement Wellness)
- Innova Wellness Inc
- Innovative Dialysis Center of Verdugo Hills, LLC (U.S. Renal Care Verdugo Hills Dialysis)
- Innovative Home Health Inc
- Innovative Medical Care a Medical Corporation
- Innovative Nursing Practice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.