Active NPI
Victoria Le Beau, LCSW
- Clinical Social Worker
- Culver City, CA
National Provider Identifier
1396948642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS14006
- Practice address
- 10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659 - Phone
- (310) 636-4265
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS14006 | CA | Primary |
Addresses
Primary practice location
10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659
Mailing address
10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659
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 |
|---|---|---|---|
| LCS14006 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1396948642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 WASHINGTON BLVD",
"address_2": "SUITE 280",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 WASHINGTON BLVD",
"address_2": "SUITE 280",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323659",
"telephone_number": "310-636-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE BEAU",
"first_name": "VICTORIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS14006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.