Active NPI
Sylvia B. Lane, LCSW, MFT
- Clinical Social Worker
- Laguna Hills, CA
National Provider Identifier
1265679237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 1324
- Practice address
- 25411 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5520 - Phone
- (949) 443-3915
- Fax
- (949) 305-4577
- NPI assigned
- Jan 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 1324 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFT 5872 | CA |
Addresses
Primary practice location
25411 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5520
Mailing address
25411 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5520
Phone (949) 443-3915
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
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 1324 | CA | MD | Clinical Social Worker |
| MFT 5872 | CA | MD | Marriage & Family Therapist |
| 1324 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343433600000",
"number": "1265679237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25411 CABOT RD",
"address_2": "SUITE 107",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535520",
"telephone_number": "949-443-3915",
"fax_number": "949-305-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25411 CABOT RD",
"address_2": "SUITE 107",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535520",
"telephone_number": "949-443-3915",
"fax_number": "949-305-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "SYLVIA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "LCSW, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2012-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 1324",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 5872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.