Joseph Stephen Ciccone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63736 Issued in CA

Practice address

14600 Sherman Way Ste 100D
Van Nuys, CA 91405-2283

Phone

(818) 374-6901

Fax

(818) 374-6908

NPI assigned

Sep 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1093963639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 100D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-374-6901",
            "fax_number": "818-374-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 100D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-374-6901",
            "fax_number": "818-374-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Schrader Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286213",
            "country_code": "US",
            "telephone_number": "323-993-8934",
            "fax_number": "323-308-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "63736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "01536011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Van Nuys, CA
• Providers in Van Nuys, 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 Mar 20, 2018; 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.