Active NPI
Eve Wettstein, LCSW, MSG
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1083127906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW76518
- Practice address
- 11303 W Washington Blvd
Los Angeles, CA 90066-6003 - Phone
- (310) 301-7396
- NPI assigned
- Nov 14, 2017
- 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 | LCSW76518 | CA | Primary |
Addresses
Primary practice location
11303 W Washington Blvd
Los Angeles, CA 90066-6003
Mailing address
11303 W Washington Blvd
Los Angeles, CA 90066-6003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW76518 | Other | CA | LCSW LICENCE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW76518 | CA | MD | Clinical Social Worker |
| 76518 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1083127906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11303 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666003",
"telephone_number": "310-301-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTSTEIN",
"first_name": "EVE",
"credential": "LCSW, MSG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW76518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENCE NUMBER",
"identifier": "LCSW76518",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Westwood Surgery Center
- Westwood Surgical Institute, a Professional Corporation
- Westwood-Hollywood Psychological Services Inc
- Westwwood Physicians Group, a Medical Corporation
- Barbara Lipner Wettstein, PH.D.
- Christopher Baldwin Wetzel, MD
- Randall Clyde Wetzel, MD
- Ishani Wewala Panditha, PHARMD
- Andrew Wexler, MD
- Geri S Wexler, PSYCHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.