Laurie Dyan Kinigstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 21282 Issued in CA

Practice address

12304 Santa Monica Blvd
Suite 215
Los Angeles, CA 90025-2551

Phone

(310) 625-3305

NPI assigned

Feb 22, 2007

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurie Dyan Moss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1275668923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 ASHLAND AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054836",
            "telephone_number": "310-633-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "310-625-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINIGSTEIN",
        "first_name": "LAURIE",
        "middle_name": "DYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "MOSS",
            "middle_name": "DYAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.