Individual provider Active NPI

Debbie Speciner, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1194023432
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23384 Issued in CA
Practice address
4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716
Phone
(818) 341-7243
Fax
(818) 990-4662
NPI assigned
Mar 10, 2011
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 23384 CA Primary

Addresses

Primary practice location

4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716

Mailing address

4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716

Other names 1

  • Debra Speciner Professional name

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

LicenseStateTypeSpecialty
LCS 23384CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geriatric Medical Group Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1194023432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 VAN NUYS BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 VAN NUYS BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031716",
            "telephone_number": "818-341-7243",
            "fax_number": "818-990-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECINER",
        "first_name": "DEBBIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SPECINER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

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

Verify at the official NPI Registry.