Active NPI
Beneva Health & Behavioral Services Inc
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1063247740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BENEVA HEALTH & BEHAVIORAL SERVICES INC
- Practice address
- 555 N Broadway
Los Angeles, CA 90012-4700 - Phone
- (857) 261-1026
- NPI assigned
- Sep 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Codner, LICSW
- Title
- Clinical Social Worker
- Phone
- (857) 261-1026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
555 N Broadway
Los Angeles, CA 90012-4700
Mailing address
555 N Broadway Apt 807
Los Angeles, CA 90012-4732
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Cambridge, MA
- NPI 1407203524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1063247740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N BROADWAY APT 807",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124700",
"telephone_number": "857-261-1026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEVA HEALTH & BEHAVIORAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "CODNER",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "857-261-1026",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Kalina Benedict
- Steven Benedict, L.AC., O.M.D.
- Rosalita Cruz Benedicto, PH.D.
- Stephanie Benefield
- Ericka Nichelle Benegas, LCSW
- Benevolence Industries Inc. (Benevolence Health Center)
- Benevolence Industries Inc. (Benevolence Health Center)
- Benevolence Industries Incorporated
- Benevolence Industries Incorporated
- Benevolence Industries Incorporated (Benevolence Health Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.