Individual provider Active NPI

Sylvia B. Lane, LCSW, MFT

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1265679237
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 1324 Issued in CA
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

Updated by the provider on Jul 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCS 1324CAMDClinical Social Worker
MFT 5872CAMDMarriage & Family Therapist
1324CAMDPhysical 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.

Verify at the official NPI Registry.