Active NPI
Louis V Jamison
- Clinical Social Worker
- Lynwood, CA
National Provider Identifier
1235564196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66111
- Practice address
- 3737 Martin Luther King Jr Blvd
Suite 550
Lynwood, CA 90262-3513 - Phone
- (323) 249-2950
- Fax
- (323) 249-2950
- NPI assigned
- Sep 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 66111 | CA | Primary |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd
Suite 550
Lynwood, CA 90262-3513
Mailing address
3737 Martin Luther King Jr Blvd
Suite 550
Lynwood, CA 90262-3513
Phone (323) 249-2950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66111 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
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 |
|---|---|---|---|
| 66111 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1235564196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 550",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "323-249-2950",
"fax_number": "310-609-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 550",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "323-249-2950",
"fax_number": "323-249-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "LOUIS",
"middle_name": "V",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "66111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "66111",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.