Active NPI
Sarah Cheedle, LCSW
- Clinical Social Worker
- Culver City, CA
National Provider Identifier
1275895492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS23941
- Practice address
- 10811 Washington Blvd
280
Culver City, CA 90232-3659 - Phone
- (310) 599-0011
- Fax
- (310) 733-1830
- NPI assigned
- Jun 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS23941 | CA | Primary |
Addresses
Primary practice location
10811 Washington Blvd
280
Culver City, CA 90232-3659
Mailing address
PO Box 1075
Culver City, CA 90232-1075
Phone (323) 697-9313
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 |
|---|---|---|---|
| LCS23941 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1275895492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1075",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902321075",
"telephone_number": "323-697-9313",
"fax_number": "310-733-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 WASHINGTON BLVD",
"address_2": "280",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323659",
"telephone_number": "310-599-0011",
"fax_number": "310-733-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEDLE",
"first_name": "SARAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS23941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.