Individual provider Active NPI

Gayle C Kirma, MSW, LCSW, BCD

  • Clinical Social Worker
  • Lomita, CA
National Provider Identifier
1306925466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18802 Issued in CA
Practice address
2075 Palos Verdes Dr N
Suite 218
Lomita, CA 90717-3724
Phone
(310) 720-6873
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 LCS18802 CA Primary

Addresses

Primary practice location

2075 Palos Verdes Dr N
Suite 218
Lomita, CA 90717-3724

Mailing address

141 Calle Mayor
Redondo Beach, CA 90277-6509
Phone (310) 720-6873

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306925466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CALLE MAYOR",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776509",
            "telephone_number": "310-720-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 PALOS VERDES DR N",
            "address_2": "SUITE 218",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173724",
            "telephone_number": "310-720-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMA",
        "first_name": "GAYLE",
        "middle_name": "C",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, 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.