Individual provider Active NPI

Marc Jeffery Sadoff, MSW, BCD

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1043235633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11725 Issued in CA
Practice address
2211 Corinth Ave
Suite 309
Los Angeles, CA 90064-1650
Phone
(310) 444-1951
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS11725 CA Primary

Addresses

Primary practice location

2211 Corinth Ave
Suite 309
Los Angeles, CA 90064-1650

Mailing address

2211 Corinth Ave
Suite 309
Los Angeles, CA 90064-1650
Phone (310) 444-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000253 CA Practitioner - Clinical Social Worker 9032258207 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2211 Corinth Ave
Suite 309
Los Angeles, CA 90064-1622
Phone (310) 444-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS11725CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Sadoff Licensed Clinical Social Worker a Professional Corporation Current Accepting new patients

Locations

2211 Corinth Ave
Ste 309
Los Angeles, CA 90064
Phone (310) 444-1951

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043235633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-444-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-444-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOFF",
        "first_name": "MARC",
        "middle_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "MSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.