Active NPI
Caitlin Crandall, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1265977854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101797
- Practice address
- 7080 Hollywood Blvd Ste 815
Los Angeles, CA 90028-6935 - Phone
- (888) 878-8595
- NPI assigned
- Jan 5, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101797 | CA | Primary |
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | ASW70893 | CA | |
| Clinical Social Worker | 1041C0700X | L14081 | OR |
Addresses
Primary practice location
7080 Hollywood Blvd Ste 815
Los Angeles, CA 90028-6935
Mailing address
2800 N Lombard St # 543
Portland, OR 97217-6234
Other practice location 1
1853 Taft Ave
Los Angeles, CA 90028-5706
Phone (323) 454-2886
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 |
|---|---|---|---|
| ASW70893 | CA | MD | Social Worker |
| L14081 | OR | MD | Clinical Social Worker |
| 101797 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Clinical | Past | Accepting new patients |
Interoperability endpoints
- caitlin.crandall.1@25119.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1265977854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N LOMBARD ST # 543",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972176234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 HOLLYWOOD BLVD STE 815",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900286935",
"telephone_number": "888-878-8595"
}
],
"practiceLocations": [
{
"address_1": "1853 Taft Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900285706",
"country_code": "US",
"telephone_number": "323-454-2886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANDALL",
"first_name": "CAITLIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101797",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW70893",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L14081",
"primary": false
}
],
"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 Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.