Active NPI
Roxy Harris Decou, MSW
- Clinical Social Worker
- Santa Monica, CA
National Provider Identifier
1215007372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8622
- Practice address
- 1421 Santa Monica Blvd
Santa Monica, CA 90265 - Phone
- (310) 456-6197
- Fax
- (310) 456-1788
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 8622 | CA | Primary |
Addresses
Primary practice location
1421 Santa Monica Blvd
Santa Monica, CA 90265
Mailing address
3705 Carbon Cyn Rd
Malibu, CA 90265
Phone (310) 456-6197
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8622 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215007372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 CARBON CYN RD",
"city": "MALIBU",
"state": "CA",
"postal_code": "90265",
"telephone_number": "310-456-6197",
"fax_number": "310-456-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90265",
"telephone_number": "310-456-6197",
"fax_number": "310-456-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOU",
"first_name": "ROXY",
"middle_name": "HARRIS",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "8622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Carly Elizabeth Decerce, RAD-T LEVEL I
- Patricia Lucy Decilla, D.D.S.
- Decio M Rangel MD, a Professional Medical Corporation
- Decio Rangel, M.D., a Professional Medical Corporation
- Dino T Deconcini, MD
- Melissa Degrati
- Laura Deguzman, ATC
- Brenda Del Castillo
- Luciano Del Toro Vargas, MD
- Julie Delabarre, CN
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.