Individual provider Active NPI

Dushyanthi Satchi, MS

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1093200461
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW109162 Issued in CA
Practice address
3210 Wilshire Blvd
Suite 201
Santa Monica, CA 90403
Phone
(310) 765-1030
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002030 CT
Clinical Social Worker 1041C0700X 091490 NY
Clinical Social Worker 1041C0700X 58.010729 CT
Clinical Social Worker 1041C0700X LCSW109162 CA Primary

Addresses

Primary practice location

3210 Wilshire Blvd
Suite 201
Santa Monica, CA 90403

Mailing address

1506 10TH St Apt 216
Santa Monica, CA 90401-2835
Phone (646) 522-0337

Other practice location 1

901 5th Ave
New York, NY 10021-4157
Phone (646) 522-0337

Other practice location 2

940 Danbury Rd
Wilton, CT 06897-4909
Phone (646) 522-0337

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002030CTMDSchool Counselor
LCSW109162CAMDClinical Social Worker
58.010729CTMDClinical Social Worker
091490NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1093200461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 10TH ST APT 216",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012835",
            "telephone_number": "646-522-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-765-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214157",
            "country_code": "US",
            "telephone_number": "646-522-0337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068974909",
            "country_code": "US",
            "telephone_number": "646-522-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATCHI",
        "first_name": "DUSHYANTHI",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002030",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091490",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.010729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW109162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.