Active NPI
Carolyn G Myles, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1225116361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18587
- Practice address
- 1500 S McDonnell Ave
Los Angeles, CA 90040-5623 - Phone
- (323) 981-4301
- Fax
- (323) 881-6733
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- 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 | 18587 | CA | Primary |
Addresses
Primary practice location
1500 S McDonnell Ave
Los Angeles, CA 90040-5623
Mailing address
5950 Canterbury Dr Apt C116
Culver City, CA 90230-6717
Phone (310) 641-7723
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 |
|---|---|---|---|
| 18587 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225116361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 CANTERBURY DR APT C116",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306717",
"telephone_number": "310-641-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MCDONNELL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900405623",
"telephone_number": "323-981-4301",
"fax_number": "323-881-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLES",
"first_name": "CAROLYN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18587",
"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.