Ofra Obejas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60551 Issued in CA

Practice address

1711 Via El Prado Ste 202
Redondo Beach, CA 90277-5721

Phone

(310) 503-1884

Fax

(310) 373-5972

NPI assigned

Mar 20, 2007

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1316062920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775721",
            "telephone_number": "310-503-1884",
            "fax_number": "310-373-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775721",
            "telephone_number": "310-503-1884",
            "fax_number": "310-373-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEJAS",
        "first_name": "OFRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LCS 60551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Redondo Beach, CA
• Providers in Redondo Beach, 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 Jun 19, 2019; 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.