Wendy Nan Block, L.C.S,W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14643 Issued in CA

Practice address

4132 Katella Ave
Suite 206
Los Alamitos, CA 90720-3426

Phone

(562) 310-5505

Fax

(562) 799-0747

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1033312822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 KEMPTON DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204622",
            "telephone_number": "562-799-0747",
            "fax_number": "562-799-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203426",
            "telephone_number": "562-310-5505",
            "fax_number": "562-799-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "WENDY",
        "middle_name": "NAN",
        "credential": "L.C.S,W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Black
• Blackburn WC DMD
• Richard Blackburn, DMD
• Stan R. Blackwell, A.B.O.C.
• Blessed Palliative and Hospice Service
• Myron J Bloom, MD
• Lawrence Neil Blum, PHD
• Melanie J Blumenthal, MD
• Richard A Blumenthal, MD
• Brianna Elizabeth Bobadilla

• Clinical Social Worker in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.