Active NPI
Jonathan Abramovitz
- Clinical Social Worker
- Anaheim, CA
National Provider Identifier
1225490907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW118263
- Practice address
- 1500 W Ball Rd
Anaheim, CA 92802-1626 - Phone
- (714) 999-3663
- NPI assigned
- Mar 22, 2016
- Last updated
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | LCSW118263 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1500 W Ball Rd
Anaheim, CA 92802-1626
Mailing address
529 W Broadway
Anaheim, CA 92805-3602
Phone (714) 366-0674
Other practice location 1
3576 Arlington Ave Ste 100
Riverside, CA 92506
Phone (951) 374-1555
Other practice location 2
2250 Soquel Ave
Santa Cruz, CA 95062-1402
Phone (831) 600-2800
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 |
|---|---|---|---|
| LCSW118263 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1225490907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 W BROADWAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053602",
"telephone_number": "714-366-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W BALL RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021626",
"telephone_number": "714-999-3663"
}
],
"practiceLocations": [
{
"address_1": "3576 Arlington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92506",
"country_code": "US",
"telephone_number": "951-374-1555",
"fax_number": "951-394-7426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 Soquel Ave",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950621402",
"country_code": "US",
"telephone_number": "831-600-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAMOVITZ",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW118263",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.