Active NPI
Michelle Nosrati
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1407406895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS29293
- Practice address
- 2001 S Barrington Ave Ste 203
Los Angeles, CA 90025-5385 - Phone
- (310) 564-4645
- Fax
- (310) 564-4647
- NPI assigned
- Sep 17, 2019
- 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 | LCS29293 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave Ste 203
Los Angeles, CA 90025-5385
Mailing address
2337 Roscomare Rd # 2-321
Los Angeles, CA 90077-1854
Phone (310) 564-4645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS29293 | Other | CA | NOT YET CONTRACTED WITH INSURANCE PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS29293 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1407406895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 ROSCOMARE RD # 2-321",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771854",
"telephone_number": "310-564-4645",
"fax_number": "310-564-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255385",
"telephone_number": "310-564-4645",
"fax_number": "310-564-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSRATI",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS29293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT YET CONTRACTED WITH INSURANCE PROVIDER",
"identifier": "LCS29293",
"state": "CA"
}
],
"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 Feb 27, 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.