Active NPI
Kenneth R Prescott, MSW, LCSW
- Clinical Social Worker
- Chatsworth, CA
National Provider Identifier
1154617231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16705
- Practice address
- 20151 Nordhoff St
Chatsworth, CA 91311-6215 - Phone
- (818) 717-4694
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- 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 | 16705 | CA | Primary |
Addresses
Primary practice location
20151 Nordhoff St
Chatsworth, CA 91311-6215
Mailing address
13206 Lake St
Los Angeles, CA 90066-2207
Phone (310) 398-4916
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1154617231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13206 LAKE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662207",
"telephone_number": "310-398-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20151 NORDHOFF ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913116215",
"telephone_number": "818-717-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "16705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.