Individual provider Active NPI

Nanette Levine-Mann, L.C.S.W.

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1306094446
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10810 Issued in CA
Practice address
1137 2ND St
Suite 109
Santa Monica, CA 90403-5011
Phone
(310) 922-7245
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS10810 CA
Clinical Social Worker 1041C0700X LCS10810 CA Primary

Addresses

Primary practice location

1137 2ND St
Suite 109
Santa Monica, CA 90403-5011

Mailing address

1137 2ND St
Suite 109
Santa Monica, CA 90403-5011
Phone (310) 922-7245

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
LCS10810CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1306094446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST",
            "address_2": "SUITE 109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035011",
            "telephone_number": "310-922-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND ST",
            "address_2": "SUITE 109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035011",
            "telephone_number": "310-922-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE-MANN",
        "first_name": "NANETTE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS10810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.