Active NPI
Carole Leland Lutness, LCSW LAADC
- Clinical Social Worker
- Newhall, CA
National Provider Identifier
1144301516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 18703
- Practice address
- 23560 Peachland Ave #204
Newhall, CA 91321 - Phone
- (661) 755-7524
- Fax
- (661) 799-3632
- NPI assigned
- Oct 18, 2006
- 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 | LCS 18703 | CA | Primary |
Addresses
Primary practice location
23560 Peachland Ave #204
Newhall, CA 91321
Mailing address
25439 Via Macarena
Valencia, CA 91355
Phone (661) 755-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5895939 | Medicaid | CA |
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 |
|---|---|---|---|
| LCS 18703 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1144301516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25439 VIA MACARENA",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-755-7524",
"fax_number": "661-799-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23560 PEACHLAND AVE #204",
"city": "NEWHALL",
"state": "CA",
"postal_code": "91321",
"telephone_number": "661-755-7524",
"fax_number": "661-799-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTNESS",
"first_name": "CAROLE",
"middle_name": "LELAND",
"name_prefix": "Mrs.",
"credential": "LCSW LAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 18703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5895939",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.