Individual provider Active NPI

Casey Amanda Nelms, MSW, ACSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1376217083
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102498 Issued in CA
Practice address
3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746
Phone
(601) 213-7584
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 102498 CA Primary

Addresses

Primary practice location

3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746

Mailing address

6240 W 3Rd St Apt 113
Los Angeles, CA 90036-7613
Phone (601) 213-7584

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

LicenseStateTypeSpecialty
102498CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1376217083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W 3RD ST APT 113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900367613",
            "telephone_number": "601-213-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 MOTOR AVE STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345746",
            "telephone_number": "601-213-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "CASEY",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 5, 2021; 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.