Active NPI
Jennifer Renee Hallman, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1255451605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27415
- Practice address
- 695 S Vermont Ave
15TH Floor
Los Angeles, CA 90005-1349 - Phone
- (213) 251-6533
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20553 | CA | |
| Clinical Social Worker | 1041C0700X | 27415 | CA | Primary |
Addresses
Primary practice location
695 S Vermont Ave
15TH Floor
Los Angeles, CA 90005-1349
Mailing address
11836 Mayfield Ave
Unit 6
Los Angeles, CA 90049-5720
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 |
|---|---|---|---|
| 27415 | CA | MD | Physical Therapist |
| 20553 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1255451605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11836 MAYFIELD AVE",
"address_2": "UNIT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S VERMONT AVE",
"address_2": "15TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051349",
"telephone_number": "213-251-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLMAN",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "20553",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27415",
"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 Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.