Active NPI
Seth McRae Amitin, LCSW
- Clinical Social Worker
- Malibu, CA
National Provider Identifier
1376927673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW83412
- Practice address
- 28955 Pacific Coast Hwy
Malibu, CA 90265 - Phone
- (818) 692-9682
- NPI assigned
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW83412 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW66872 | CA |
Addresses
Primary practice location
28955 Pacific Coast Hwy
Malibu, CA 90265
Mailing address
28955 Pacific Coast Hwy
Malibu, CA 90265-3953
Phone (818) 692-9682
Other practice location 1
1020 Pico Blvd
Santa Monica, CA 90405-1416
Phone (310) 314-6200
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 |
|---|---|---|---|
| ASW66872 | CA | MD | Mental Health Counselor |
| LCSW83412 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- sethamitin-clarefoundation@lacsapc.netsmartdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1376927673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28955 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902653953",
"telephone_number": "818-692-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28955 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "90265",
"telephone_number": "818-692-9682"
}
],
"practiceLocations": [
{
"address_1": "1020 Pico Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904051416",
"country_code": "US",
"telephone_number": "310-314-6200",
"fax_number": "310-450-2024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMITIN",
"first_name": "SETH",
"middle_name": "MCRAE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW83412",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW66872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.