NPIMap

Organization Active NPI

Gay and Lesbian Adolescent Social Services, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1386776037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES, INC.
Practice address
735 S la Brea Ave
Los Angeles, CA 90036-4208
Phone
(323) 934-7739
Fax
(323) 934-7752
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teresa Decrescenzo, LCSW
Title
Executive Director
Phone
(310) 358-8727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

735 S la Brea Ave
Los Angeles, CA 90036-4208

Mailing address

650 N Robertson Blvd
West Hollywood, CA 90069-5022
Phone (310) 358-8727

Other names 1

  • GLASS, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Gay and Lesbian Adolescent Social Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

735 S La Brea Ave
Los Angeles, CA 90036
Phone (323) 934-7739

650 N Robertson Blvd
West Hollywood, CA 90069

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386776037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ROBERTSON BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695022",
            "telephone_number": "310-358-8727",
            "fax_number": "310-358-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364208",
            "telephone_number": "323-934-7739",
            "fax_number": "323-934-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECRESCENZO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-358-8727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLASS, Inc.",
            "code": "5",
            "type": "Other 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 Aug 22, 2020; 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.