Active NPI
Colleen McCord, M.S.W.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1245508449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69219
- Practice address
- 5757 Wilshire Blvd Ste 359
Los Angeles, CA 90036-3683 - Phone
- (213) 327-4760
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 69219 | CA | Primary |
Addresses
Primary practice location
5757 Wilshire Blvd Ste 359
Los Angeles, CA 90036-3683
Mailing address
5757 Wilshire Blvd Ste 359
Los Angeles, CA 90036-3683
Phone (213) 327-4760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69219 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1245508449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 WILSHIRE BLVD STE 359",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363683",
"telephone_number": "213-327-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WILSHIRE BLVD STE 359",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363683",
"telephone_number": "213-327-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORD",
"first_name": "COLLEEN",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "69219",
"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 Nov 5, 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.