Active NPI
Charles J Padow, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1023149325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS26448
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS-26448 | CA | MD | Clinical Social Worker |
| LCS26448 | CA | MD | Clinical 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.