Individual provider Active NPI

Emily Marie James, L.C.S.W.

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1093836892
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25460 Issued in CA
Practice address
1619 Santa Monica Blvd
Santa Monica, CA 90404-1807
Phone
(310) 392-5855
NPI assigned
Apr 2, 2007
Last updated
May 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25460 CA Primary

Addresses

Primary practice location

1619 Santa Monica Blvd
Santa Monica, CA 90404-1807

Mailing address

4894 Hartwick St
Eagle Rock, CA 90041-2247
Phone (323) 610-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000831 CA Practitioner - Clinical Social Worker 2567629595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS25460CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up on Second Street Inc. CurrentSince Aug 27, 2011 Accepting new patients
Step Up on Second Street, Inc. Current Accepting new patients
Step Up on Second Street, Inc. CurrentSince Aug 27, 2011 Accepting new patients
Step Up on Second Street, Inc. Past Accepting new patients

Locations

6762 Lexington Ave
Ste A
Los Angeles, CA 90038
Phone (323) 380-7590

1619 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 329-5855

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1093836892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 HARTWICK ST",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900412247",
            "telephone_number": "323-610-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041807",
            "telephone_number": "310-392-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.