Individual provider Active NPI

Janice Sue Ehrlich, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1235287327
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18897 Issued in CA
Practice address
12011 San Vicente Blvd
Suite 510
Los Angeles, CA 90049-4926
Phone
(310) 472-1976
Fax
(310) 473-6912
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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 LCS18897 CA Primary

Addresses

Primary practice location

12011 San Vicente Blvd
Suite 510
Los Angeles, CA 90049-4926

Mailing address

12011 San Vicente Blvd
Suite 510
Los Angeles, CA 90049-4926
Phone (310) 472-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS18897CAMDClinical Social Worker
18897CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1235287327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-472-1976",
            "fax_number": "310-473-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-472-1976",
            "fax_number": "310-473-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "JANICE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.