Individual provider Active NPI

Yael Eiserike, LCSW

  • Clinical Social Worker
  • Burbank, CA
National Provider Identifier
1134569577
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75053 Issued in CA
Practice address
3500 W Olive Ave Ste 300
Burbank, CA 91505-4647
Phone
(310) 359-0320
NPI assigned
Jun 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 75053 CA Primary
Clinical Social Worker 1041C0700X ASW62171 CA

Addresses

Primary practice location

3500 W Olive Ave Ste 300
Burbank, CA 91505-4647

Mailing address

3500 W Olive Ave Ste 300
Burbank, CA 91505-4647
Phone (310) 359-0320

Other practice location 1

2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232
Phone (424) 254-9622

Other practice location 2

9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (818) 739-5364

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

State licenses

LicenseStateTypeSpecialty
ASW62171CAMDClinical Social Worker
75053CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yael Eiserike, a Licensed Clinical Social Worker PC Clinical Current Accepting new patients

Locations

3500 W Olive Ave
Ste 300
Burbank, CA 91505
Phone (310) 359-0320

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1134569577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W OLIVE AVE STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054647",
            "telephone_number": "310-359-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W OLIVE AVE STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054647",
            "telephone_number": "310-359-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 Ocean Park Blvd Ste 3075",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904055232",
            "country_code": "US",
            "telephone_number": "424-254-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9650 Zelzah Ave",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913252003",
            "country_code": "US",
            "telephone_number": "818-739-5364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISERIKE",
        "first_name": "YAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75053",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW62171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.