Active NPI
The Traveling Therapist, Inc.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1346966736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE TRAVELING THERAPIST, INC.
- Practice address
- 702 W Athens Blvd
Los Angeles, CA 90044-3921 - Phone
- (213) 503-7590
- NPI assigned
- Oct 17, 2022
- Organization subpart
- Yes
- Parent organization
- -
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luvonne Genise Richardson-King, LCSW 22396
- Title
- LCSW
- Phone
- (213) 503-7590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
702 W Athens Blvd
Los Angeles, CA 90044-3921
Mailing address
702 W Athens Blvd
Los Angeles, CA 90044-3921
Phone (213) 503-7590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235260399 | Medicaid | CA |
Other names 2
- LuVonne Genise Richardson-King
- The Traveling Therapist, Inc.
National Provider Directory
National Provider Directory- Part of
- The Traveling Therapist Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1235260399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1346966736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 W ATHENS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443921",
"telephone_number": "213-503-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W ATHENS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443921",
"telephone_number": "213-503-7590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TRAVELING THERAPIST, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "-",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "RICHARDSON-KING",
"authorized_official_first_name": "LUVONNE",
"authorized_official_middle_name": "GENISE",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "213-503-7590",
"authorized_official_credential": "LCSW 22396"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235260399",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LuVonne Genise Richardson-King",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Traveling Therapist, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.