Individual provider Active NPI

Joshua David Bienenfeld, MSW, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1215234281
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS15982 Issued in CA
Practice address
3660 Wilshire Blvd Ste 518
Los Angeles, CA 90010-2768
Phone
(818) 404-0054
NPI assigned
Feb 27, 2011
Reactivated
Apr 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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 LCS15982 CA Primary

Addresses

Primary practice location

3660 Wilshire Blvd Ste 518
Los Angeles, CA 90010-2768

Mailing address

10153 1/2 Riverside Dr Unit 198
Toluca Lake, CA 91602-2561
Phone (818) 487-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906003819 CA Practitioner - Clinical Social Worker 0547700338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS15982CAMDClinical Social Worker
15982CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Clinical CurrentSince Nov 1, 2025 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jul 26, 2024 Accepting new patients
J D Bienenfeld MSW Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy CurrentSince Apr 21, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1215234281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10153 1/2 RIVERSIDE DR UNIT 198",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022561",
            "telephone_number": "818-487-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 WILSHIRE BLVD STE 518",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102768",
            "telephone_number": "818-404-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENFELD",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-27",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "deactivation_date": "2013-06-05",
        "reactivation_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.