Individual provider Active NPI

Lenny B Hughley, MSW, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1235372095
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112845 Issued in CA
Practice address
8405 W 1St St
Los Angeles, CA 90048-3412
Phone
(513) 266-7668
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5519 KY
Clinical Social Worker 1041C0700X 112845 CA Primary

Addresses

Primary practice location

8405 W 1St St
Los Angeles, CA 90048-3412

Mailing address

8405 W 1St St
Los Angeles, CA 90048-3412
Phone (513) 266-7668

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

State licenses

LicenseStateTypeSpecialty
112845CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Light Pathway Counseling and Wellness Licensed Independent Social Worker Corporation Clinical PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1235372095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 W 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483412",
            "telephone_number": "513-266-7668",
            "fax_number": "859-578-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 W 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483412",
            "telephone_number": "513-266-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHLEY",
        "first_name": "LENNY",
        "middle_name": "B",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5519",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112845",
            "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 Jan 20, 2023; 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.