Active NPI
Amber Rose, LCSW
- Clinical Social Worker
- Culver City, CA
National Provider Identifier
1114352267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 80505
- Practice address
- 4760 Sepulveda Blvd
Culver City, CA 90230-4820 - Phone
- (310) 390-6612
- Fax
- (310) 398-5690
- NPI assigned
- Sep 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW80505 | CA | |
| Clinical Social Worker | 1041C0700X | 80505 | CA | Primary |
Addresses
Primary practice location
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Mailing address
1540 E Colorado St
Glendale, CA 91205-1514
Phone (213) 680-6300
Other practice location 1
14535 Sherman Cir
Van Nuys, CA 91405-3087
Phone (818) 901-4930
Other practice location 2
14535 Sherman Cir
Van Nuys, CA 91405-3087
Phone (818) 901-4930
Other practice location 3
224 E 6th St
Los Angeles, CA 90014
Phone (213) 680-6300
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 |
|---|---|---|---|
| LCSW80505 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1114352267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514",
"telephone_number": "213-680-6300",
"fax_number": "818-243-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "310-390-6612",
"fax_number": "310-398-5690"
}
],
"practiceLocations": [
{
"address_1": "14535 Sherman Cir",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914053087",
"country_code": "US",
"telephone_number": "818-901-4930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14535 Sherman Cir",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914053087",
"country_code": "US",
"telephone_number": "818-901-4930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 E 6th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90014",
"country_code": "US",
"telephone_number": "213-680-6300",
"fax_number": "213-895-6275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "AMBER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW80505",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "80505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.