Active NPI
Kiana Janel Matthews, ASW 93673
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1043814643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 93673
- Practice address
- 2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353 - Phone
- (323) 334-9000
- Fax
- (323) 334-4437
- NPI assigned
- Nov 24, 2020
- 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 | 93673 | CA | Primary |
Addresses
Primary practice location
2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Mailing address
PO Box 272
Rancho Cucamonga, CA 91729-0272
Phone (800) 275-8777
Other practice location 1
1625 W Olympic Blvd Ste 701
Los Angeles, CA 90015-3811
Phone (213) 808-2698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | UNKNOWN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93673 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1043814643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 272",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917290272",
"telephone_number": "800-275-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 ARLINGTON AVE STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900181353",
"telephone_number": "323-334-9000",
"fax_number": "323-334-4437"
}
],
"practiceLocations": [
{
"address_1": "1625 W Olympic Blvd Ste 701",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153811",
"country_code": "US",
"telephone_number": "213-808-2698",
"fax_number": "213-277-1618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KIANA",
"middle_name": "JANEL",
"credential": "ASW 93673",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "93673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN",
"identifier": "0000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Los Angeles",
"address_1": "2116 Arlington Ave Ste 100",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900181353",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.