Active NPI
Nancy Rose, MSW
- Clinical Social Worker
- Granada Hills, CA
National Provider Identifier
1164502274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20465
- Practice address
- 10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6342 - Phone
- (818) 832-2410
- Fax
- (818) 832-2567
- NPI assigned
- Oct 16, 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 | LCS20465 | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6342
Mailing address
PO Box 572125
Tarzana, CA 91357-2125
Phone (818) 832-2410
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20465 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164502274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 572125",
"city": "TARZANA",
"state": "CA",
"postal_code": "913572125",
"telephone_number": "818-832-2410",
"fax_number": "818-832-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD",
"address_2": "SUITE 100",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446342",
"telephone_number": "818-832-2410",
"fax_number": "818-832-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.