Nataly Seka Petrovic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20879 Issued in CA

Practice address

200 UCLA Medical PLZ Ste 430
Los Angeles, CA 90095-6107

Phone

(310) 794-7274

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1205124781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956107",
            "telephone_number": "310-794-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 Delgany Ave Unit 18",
            "address_purpose": "LOCATION",
            "city": "Playa Del Rey",
            "state": "CA",
            "postal_code": "902936107",
            "country_code": "US",
            "telephone_number": "310-804-4258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROVIC",
        "first_name": "NATALY",
        "middle_name": "SEKA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20897",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meri Petrosyan
• Romela Petrosyan, M.D.
• Shushan Petrosyan
• Jelica Petrovic
• Lidija Petrovic, MD
• Madalyn Marie Petrovich, M.S., CCC-SLP
• Henrik Petrowsky, MD
• Richard Edward Petrucci Jr., MD
• Bertha Alexis Pettaway, LCSW
• Moritz Sebastian Pettenkofer, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.