Organization Active NPI

Samantha Hertz, Licensed Clinical Social Worker

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1265193098
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAMANTHA HERTZ, LICENSED CLINICAL SOCIAL WORKER
Practice address
22815 Ventura Blvd # 405
Woodland Hills, CA 91364-1202
Phone
(818) 538-9372
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Ms. Samantha Elyse Hertz, LCSW
Title
Principal
Phone
(818) 472-7767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22815 Ventura Blvd # 405
Woodland Hills, CA 91364-1202

Mailing address

22815 Ventura Blvd # 405
Woodland Hills, CA 91364-1202
Phone (818) 538-9372

National Provider Directory

National Provider Directory

Locations

22815 Ventura Blvd
#405
Woodland Hills, CA 91364
Phone (818) 538-9372

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1265193098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22815 VENTURA BLVD # 405",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641202",
            "telephone_number": "818-538-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22815 VENTURA BLVD # 405",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641202",
            "telephone_number": "818-538-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA HERTZ, LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ELYSE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "818-472-7767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.