Individual provider Active NPI

Lucile Sharp Yaney, LCSW

  • Clinical Social Worker
  • Topanga, CA
National Provider Identifier
1366652299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 850 Issued in CA
Practice address
1150 Canyon TRL
Topanga, CA 90290-3604
Phone
(310) 455-7551
Fax
(310) 455-9992
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 LCS 850 CA Primary

Addresses

Primary practice location

1150 Canyon TRL
Topanga, CA 90290-3604

Mailing address

1150 Canyon TRL
Topanga, CA 90290-3604
Phone (310) 455-7551

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
I20200501000373 CA Practitioner - Clinical Social Worker 0749610913 Practice locations: Topanga, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Topanga, CA 90290
Phone (310) 455-7551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 850CAMDClinical Social Worker
850CAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366652299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CANYON TRL",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902903604",
            "telephone_number": "310-455-7551",
            "fax_number": "310-455-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CANYON TRL",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902903604",
            "telephone_number": "310-455-7551",
            "fax_number": "310-455-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEY",
        "first_name": "LUCILE",
        "middle_name": "SHARP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topanga, CA

Sources for this page

Verify at the official NPI Registry.