Individual provider Active NPI

Madeline Elia, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1326519984
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105300 Issued in CA
Practice address
200 Medical Plaza Suite 502
Los Angeles, CA 90095-4402
Phone
(310) 794-6644
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 105300 CA Primary

Addresses

Primary practice location

200 Medical Plaza Suite 502
Los Angeles, CA 90095-4402

Mailing address

3824 Motor Ave Apt 26
Culver City, CA 90232-3156

Other practice location 1

3824 Motor Ave Apt 26
Culver City, CA 90232-3156
Phone (805) 657-7564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 28, 2025 through Mar 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105300CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1326519984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 MOTOR AVE APT 26",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954402",
            "telephone_number": "310-794-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3824 Motor Ave Apt 26",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902323156",
            "country_code": "US",
            "telephone_number": "805-657-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIA",
        "first_name": "MADELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.