Organization Active NPI

The Traveling Therapist, Inc.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1346966736
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1235260399MedicaidCA

Other names 2

  • LuVonne Genise Richardson-King Doing business as
  • The Traveling Therapist, Inc. Doing business as

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.

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.