Active NPI
Jordana Mansbacher, PSY. D, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1316963937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 21516
- Practice address
- 3456 Maplewood Ave
Los Angeles, CA 90066-2253 - Phone
- (310) 570-7072
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 21516 | CA | Primary |
Addresses
Primary practice location
3456 Maplewood Ave
Los Angeles, CA 90066-2253
Mailing address
3456 Maplewood Ave
Los Angeles, CA 90066-2253
Phone (310) 570-7072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21516 | CA | MD | Professional Counselor |
| LCS 21516 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1316963937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 MAPLEWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662253",
"telephone_number": "310-570-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 MAPLEWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662253",
"telephone_number": "310-570-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSBACHER",
"first_name": "JORDANA",
"name_prefix": "Dr.",
"credential": "PSY. D, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 21516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.