Active NPI
Katherine Jayne Sieracki
- Social Worker
- Los Angeles, CA
National Provider Identifier
1336860048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123965
- Practice address
- 500 S San Pedro St
Los Angeles, CA 90013-2102 - Phone
- (562) 867-7999
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 123965 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
500 S San Pedro St
Los Angeles, CA 90013-2102
Mailing address
621 S Gramercy PL Apt 503
Los Angeles, CA 90005-3237
Phone (213) 716-0400
Other practice location 1
21707 Hawthorne Blvd Ste 300
Torrance, CA 90503-7016
Phone (310) 543-9900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123965 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1736 Family Crisis Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Torrance, CA
- NPI 1104958479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1336860048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S GRAMERCY PL APT 503",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900053237",
"telephone_number": "213-716-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S SAN PEDRO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132102",
"telephone_number": "562-867-7999"
}
],
"practiceLocations": [
{
"address_1": "21707 Hawthorne Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905037016",
"country_code": "US",
"telephone_number": "310-543-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIERACKI",
"first_name": "KATHERINE",
"middle_name": "JAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "123965",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.