Laurie Eddleston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25413 Issued in CA

Practice address

421 7TH St
Manhattan Beach, CA 90266-5615

Phone

(310) 739-3844

NPI assigned

Feb 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1073211181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 MANHATTAN AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542411",
            "telephone_number": "310-739-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 7TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665615",
            "telephone_number": "310-739-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDLESTON",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Maree Dupee, MD
• Jake Walsh Dupree, MD
• Jaclyn Michelle Duree, M.A. BCBA
• Phyllis Elliott Dworsky, PH.D.
• Rose J Eapen, M.D.
• Kathleen Shannon Edmunds, MD
• Kristin Egan, M.D.
• Michelle Ehrlich, MD
• Steve Elder, D.D.S.
• Electric Edge Physical Therapy P.C.

• Clinical Social Worker in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Feb 17, 2023; 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.