Active NPI
Nichelle Shauntece Ward
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1023134228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW28570
- Practice address
- 8019 Compton Ave
Los Angeles, CA 90001-3409 - Phone
- (323) 586-7333
- Fax
- (323) 319-1979
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCSW28570 | CA | Primary |
Addresses
Primary practice location
8019 Compton Ave
Los Angeles, CA 90001-3409
Mailing address
8019 S. Compton Ave
Los Angeles, CA 90001
Phone (323) 586-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW28570 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1023134228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8019 S. COMPTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90001",
"telephone_number": "323-586-7333",
"fax_number": "323-319-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 COMPTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900013409",
"telephone_number": "323-586-7333",
"fax_number": "323-319-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "NICHELLE",
"middle_name": "SHAUNTECE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW28570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.