Individual provider Active NPI

E Barbara Koretz, B.C.D., L.C.S.W.

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1306911441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 12433 Issued in CA
Practice address
16255 Ventura Blvd
Suite 502
Encino, CA 91436-2302
Phone
(818) 789-8351
Fax
(818) 789-8351
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 12433 CA Primary

Addresses

Primary practice location

16255 Ventura Blvd
Suite 502
Encino, CA 91436-2302

Mailing address

17062 Lisette St
Granada Hills, CA 91344-1436
Phone (818) 378-5732

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
LCS 12433CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306911441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17062 LISETTE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441436",
            "telephone_number": "818-378-5732",
            "fax_number": "818-366-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "SUITE 502",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "818-789-8351",
            "fax_number": "818-789-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORETZ",
        "first_name": "E BARBARA",
        "name_prefix": "Ms.",
        "credential": "B.C.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 12433",
            "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 Jul 8, 2007; 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.