Active NPI
Lisa R Heller
- Clinical Social Worker
- Beverly Hills, CA
National Provider Identifier
1124214580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS14782
- Practice address
- 300 S Beverly Dr
Ste 212
Beverly Hills, CA 90212-4805 - Phone
- (310) 826-1114
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS14782 | CA | Primary |
Addresses
Primary practice location
300 S Beverly Dr
Ste 212
Beverly Hills, CA 90212-4805
Mailing address
300 S Beverly Dr
Ste 212
Beverly Hills, CA 90212-4805
Phone (310) 826-1114
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 |
|---|---|---|---|
| LCS14782 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1124214580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BEVERLY DR",
"address_2": "STE 212",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124805",
"telephone_number": "310-826-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BEVERLY DR",
"address_2": "STE 212",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124805",
"telephone_number": "310-826-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "LISA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS14782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Farah Olga Laaly Hekmat, M.D
- Helene Julius DDS, MPH, a Professional Dental Corp
- Jeffrey Helfenstein, M.D.
- James Barnett Heller
- Lindsay Heller, PSY.D.
- Sheridan Katherine Henderson, LMFT
- Toni La'Nette Henderson, D.D.S.
- Theodric Blue Hendrix Jr., M.D.
- Henrietta Stancz-Szeder MD Inc
- Rebecca Karin Henson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.