Stacey Fran Datnow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18456 Issued in CA

Practice address

9171 Wilshire Boulevard
Suite 310
Beverly Hills, CA 90210-5516

Phone

(310) 274-4372

Fax

(310) 274-5146

NPI assigned

Sep 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 10, 2023 through May 10, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Medical Group of Beverly Hills Inc.

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1740280445
  NPD (past)
• Litos O. Mallare, M.D., Inc.

  • Psychiatry Physician
  • Malibu, CA
  • NPI 1932524485
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1295836963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BOULEVARD",
            "address_2": "SUITE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105516",
            "telephone_number": "310-274-4372",
            "fax_number": "310-274-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BOULEVARD",
            "address_2": "SUITE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105516",
            "telephone_number": "310-274-4372",
            "fax_number": "310-274-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATNOW",
        "first_name": "STACEY",
        "middle_name": "FRAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Darling
• Babak Darvishian
• Tracy Dasho
• Dasp Medical Inc a Professional Corporation
• Dennis Dass, M.D.
• Melinda Dauer, MFT
• Coleen Davenport-Paysinger, ATC
• David a. Pougatsch, DPM, Inc.
• David Abri DDS Inc
• David Amron

• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, 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 Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.