Active NPI
O. Stanley Cole, L.C.S.W.
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1205840485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 11264
- Practice address
- 1202 Morena Blvd Ste 300
San Diego, CA 92110-3844 - Phone
- (619) 275-0822
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- 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 | LCS 11264 | CA | Primary |
Addresses
Primary practice location
1202 Morena Blvd Ste 300
San Diego, CA 92110-3844
Mailing address
5560 Vista San Juanico
San Diego, CA 92154
Phone (619) 710-2895
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 11264 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205840485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 VISTA SAN JUANICO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92154",
"telephone_number": "619-710-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MORENA BLVD STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103844",
"telephone_number": "619-275-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "O.",
"middle_name": "STANLEY",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 11264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.