Individual provider Active NPI

Courtney Kent, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1396187167
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW76116 Issued in CA
Practice address
2001 S Barrington Ave Ste 215
Los Angeles, CA 90025-5385
Phone
(949) 633-8457
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW62633 CA
Clinical Social Worker 1041C0700X LCSW76116 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 215
Los Angeles, CA 90025-5385

Mailing address

1201 N Kingsley Dr Apt 11
Los Angeles, CA 90029-1329
Phone (949) 633-8457

Other practice location 1

2001 S Barrington Ave Ste 3A
Los Angeles, CA 90025-5363
Phone (949) 633-8457

Other practice location 2

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 451-9747

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
ASW62633CAMDSocial Worker
LCSW76116CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396187167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N KINGSLEY DR APT 11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291329",
            "telephone_number": "949-633-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "949-633-8457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Barrington Ave Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255363",
            "country_code": "US",
            "telephone_number": "949-633-8457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902304820",
            "country_code": "US",
            "telephone_number": "310-451-9747",
            "fax_number": "310-398-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW62633",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76116",
            "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 Mar 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.

Verify at the official NPI Registry.