Individual provider Active NPI

Pamela Roye Farkas, LCSW LICENSED CLINIC

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1366594137
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12633 Issued in CA
Practice address
8415 Coreyell PL
Los Angeles, CA 90046-1024
Phone
(818) 503-3600
Fax
(310) 652-8264
NPI assigned
Jan 18, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 LCS12633 CA Primary

Addresses

Primary practice location

8415 Coreyell PL
Los Angeles, CA 90046-1024

Mailing address

8415 Coreyell Place
Los Angeles, CA 90046
Phone (818) 503-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000963 CA Practitioner - Clinical Social Worker 1052384302 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8415 Coreyell PL
Los Angeles, CA 90046-1024
Phone (818) 503-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12633CAMDClinical Social Worker
12633CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1366594137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 COREYELL PLACE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "818-503-3600",
            "fax_number": "310-652-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 COREYELL PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461024",
            "telephone_number": "818-503-3600",
            "fax_number": "310-652-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKAS",
        "first_name": "PAMELA",
        "middle_name": "ROYE",
        "name_prefix": "Ms.",
        "credential": "LCSW LICENSED CLINIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.