Individual provider Active NPI

Maddison Joelle Podos, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1235858960
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76344 Issued in CA
Practice address
4737 Kester Ave Apt 201
Sherman Oaks, CA 91403-2097
Phone
(520) 271-7553
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 76344 CA Primary

Addresses

Primary practice location

4737 Kester Ave Apt 201
Sherman Oaks, CA 91403-2097

Mailing address

4737 Kester Ave Apt 201
Sherman Oaks, CA 91403-2097
Phone (520) 271-7553

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
76344CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1235858960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 KESTER AVE APT 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032097",
            "telephone_number": "520-271-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 KESTER AVE APT 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032097",
            "telephone_number": "520-271-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOS",
        "first_name": "MADDISON",
        "middle_name": "JOELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.