Individual provider Active NPI

Carla S. Loebman, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1215068978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20021 Issued in CA
Practice address
1424 4TH St
#303
Santa Monica, CA 90401-2335
Phone
(310) 393-0732
Fax
(310) 395-0434
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20021 CA Primary

Addresses

Primary practice location

1424 4TH St
#303
Santa Monica, CA 90401-2335

Mailing address

936 Hilts Ave
Los Angeles, CA 90024-3213
Phone (310) 475-0065

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215068978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 HILTS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243213",
            "telephone_number": "310-475-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 4TH ST",
            "address_2": "#303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012335",
            "telephone_number": "310-393-0732",
            "fax_number": "310-395-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBMAN",
        "first_name": "CARLA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, 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.

Verify at the official NPI Registry.