Active NPI
Stephanie Segal, MSW, ACSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1356878417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73080
- Practice address
- 765 W College St
Los Angeles, CA 90012-1181 - Phone
- (213) 580-7301
- NPI assigned
- May 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73080 | CA | Primary |
Addresses
Primary practice location
765 W College St
Los Angeles, CA 90012-1181
Mailing address
12946 Valleyheart Dr Apt 116
Studio City, CA 91604-1978
Phone (818) 913-6464
Other names 1
- Stephanie Segal Kretchmer
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 |
|---|---|---|---|
| 73080 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1356878417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12946 VALLEYHEART DR APT 116",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916041978",
"telephone_number": "818-913-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 W COLLEGE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121181",
"telephone_number": "213-580-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "STEPHANIE",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "KRETCHMER",
"middle_name": "SEGAL",
"credential": "MSW, ACSW",
"code": "1",
"type": "Former Name"
}
]
}
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 May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.