Active NPI
Corinna Klein, LCSW, PHD
- Psychologist
- Los Angeles, CA
National Provider Identifier
1205504792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35898
- Practice address
- 11970 Montana Ave Apt 106
Los Angeles, CA 90049-5021 - Phone
- (805) 364-2934
- NPI assigned
- Aug 31, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 97919 | CA | |
| Clinical Social Worker | 1041C0700X | 91797 | NY | |
| Psychologist | 103T00000X | 35898 | CA | Primary |
Addresses
Primary practice location
11970 Montana Ave Apt 106
Los Angeles, CA 90049-5021
Mailing address
11970 Montana Ave Apt 106
Los Angeles, CA 90049-5021
Phone (805) 364-2934
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97919 | CA | MD | Clinical Social Worker |
| 91797 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1205504792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11970 MONTANA AVE APT 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495021",
"telephone_number": "805-364-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11970 MONTANA AVE APT 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495021",
"telephone_number": "805-364-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "CORINNA",
"credential": "LCSW, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "97919",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "91797",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35898",
"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 May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.