Individual provider Active NPI

Charles J Padow, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1023149325
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS26448 Issued in CA
Practice address
John Wooden Center West
221 Westwood Plaza, # 951556
Los Angeles, CA 90095-1556
Phone
(310) 825-0768
NPI assigned
Mar 8, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS-26448 CA
Clinical Social Worker 1041C0700X LCS26448 CA Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

John Wooden Center West
221 Westwood Plaza, # 951556
Los Angeles, CA 90095-1556

Mailing address

John Wooden Center West
221 Westwood Plaza # 951556
Los Angeles, CA 90095-1556
Phone (310) 825-0768

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

LicenseStateTypeSpecialty
LCS-26448CAMDClinical Social Worker
LCS26448CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1023149325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN WOODEN CENTER WEST",
            "address_2": "221 WESTWOOD PLAZA # 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN WOODEN CENTER WEST",
            "address_2": "221 WESTWOOD PLAZA, # 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOW",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS-26448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26448",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.