Individual provider Active NPI

Jennifer Paige Anderson, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1295033124
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23655 Issued in CA
Practice address
8512 Whitworth Dr
Los Angeles, CA 90035-2411
Phone
(310) 360-8512
Fax
(310) 360-8510
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23655 CA Primary

Addresses

Primary practice location

8512 Whitworth Dr
Los Angeles, CA 90035-2411

Mailing address

8512 Whitworth Dr
Los Angeles, CA 90035-2411
Phone (310) 360-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 1, 2024 through Aug 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23655CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Minds, Inc. PastSince Nov 3, 2024 Accepting new patients
The Ness Counseling Center, Inc. Past Accepting new patients
The Ness Counseling Center, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1295033124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 WHITWORTH DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352411",
            "telephone_number": "310-360-8512",
            "fax_number": "310-360-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 WHITWORTH DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352411",
            "telephone_number": "310-360-8512",
            "fax_number": "310-360-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.