Individual provider Active NPI

Nicole Kirsten Sunseri, LCSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1295678969
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW135712 Issued in CA
Practice address
15503 Ventura Blvd Ste 150
Encino, CA 91436-3115
Phone
(424) 440-0452
NPI assigned
Apr 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 LCSW135712 CA Primary

Addresses

Primary practice location

15503 Ventura Blvd Ste 150
Encino, CA 91436-3115

Mailing address

4348 1/2 Kingswell Ave
Los Angeles, CA 90027-4586
Phone (818) 389-5090

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

LicenseStateTypeSpecialty
LCSW135712CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1295678969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 1/2 KINGSWELL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900274586",
            "telephone_number": "818-389-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD STE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363115",
            "telephone_number": "424-440-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSERI",
        "first_name": "NICOLE",
        "middle_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW135712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.