Individual provider Active NPI

Aileen J. Stein, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1386832467
Registry record updated Oct 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24019 Issued in CA
Practice address
11911 San Vicente Blvd
Suite 240
Los Angeles, CA 90049-5086
Phone
(310) 804-3020
Fax
(310) 458-4452
NPI assigned
Oct 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 24019 CA Primary

Addresses

Primary practice location

11911 San Vicente Blvd
Suite 240
Los Angeles, CA 90049-5086

Mailing address

11911 San Vicente Blvd
Suite 240
Los Angeles, CA 90049-5086
Phone (310) 804-3020

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
24019CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1386832467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD",
            "address_2": "SUITE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495086",
            "telephone_number": "310-804-3020",
            "fax_number": "310-458-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD",
            "address_2": "SUITE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495086",
            "telephone_number": "310-804-3020",
            "fax_number": "310-458-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "AILEEN",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24019",
            "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 Oct 14, 2007; 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.