Organization Active NPI

W.I.S.E. Group

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1205314465
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23842 Issued in CA
Legal business name
W.I.S.E. GROUP
Practice address
12340 Santa Monica Blvd Ste 307
Los Angeles, CA 90025-0348
Phone
(310) 993-6303
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Deborah Galligani, LCSWNPI 1902927536
Title
President
Phone
(310) 993-6303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCS23842 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd Ste 307
Los Angeles, CA 90025-0348

Mailing address

PO Box 64903
Los Angeles, CA 90064-0903
Phone (310) 993-6303

National Provider Directory

National Provider Directory

Locations

12340 Santa Monica Blvd
Ste 307
Los Angeles, CA 90025
Phone (310) 993-6303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1205314465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64903",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640903",
            "telephone_number": "310-993-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250348",
            "telephone_number": "310-993-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.I.S.E. GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "GALLIGANI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-993-6303",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23842",
            "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 Jul 31, 2018; 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.