Active NPI
Vivian Hines, MSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1215045828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW0000006571
- Practice address
- 351 E Temple St
Los Angeles, CA 90012-3328 - Phone
- (213) 253-2677
- Fax
- (213) 253-5510
- NPI assigned
- Aug 25, 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 | CSW0000006571 | TN | Primary |
Addresses
Primary practice location
351 E Temple St
Los Angeles, CA 90012-3328
Mailing address
2042 W 42ND St
Los Angeles, CA 90062-1420
Phone (323) 294-7087
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 |
|---|---|---|---|
| CSW0000006571 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215045828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 W 42ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621420",
"telephone_number": "323-294-7087",
"fax_number": "323-294-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900123328",
"telephone_number": "213-253-2677",
"fax_number": "213-253-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "VIVIAN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "CSW0000006571",
"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 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.