Active NPI
Susan Rose Hallett, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1184485898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28679
- Practice address
- 6041 Cadillac Ave
Los Angeles, CA 90034-1702 - Phone
- (310) 737-4812
- NPI assigned
- Jan 19, 2024
- 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 | 28679 | CA | Primary |
Addresses
Primary practice location
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Mailing address
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Other practice location 1
5300 McConnell Ave
Los Angeles, CA 90066-7026
Phone (310) 737-4812
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": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1184485898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6041 CADILLAC AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 CADILLAC AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341702",
"telephone_number": "310-737-4812"
}
],
"practiceLocations": [
{
"address_1": "5300 McConnell Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900667026",
"country_code": "US",
"telephone_number": "310-737-4812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLETT",
"first_name": "SUSAN",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.