Individual provider Active NPI

Sandra Lavin-Mond, LCSW

  • Clinical Social Worker
  • Beverly Hills, CA
National Provider Identifier
1417099953
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10456 Issued in CA
Practice address
8665 Wilshire Blvd
Suite 220
Beverly Hills, CA 90211-2975
Phone
(323) 333-7390
Fax
(586) 816-6929
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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 LCS10456 CA Primary

Addresses

Primary practice location

8665 Wilshire Blvd
Suite 220
Beverly Hills, CA 90211-2975

Mailing address

1126 Hi Point St
Los Angeles, CA 90035-2610
Phone (323) 333-7390

Other identifiers 1

IdentifierTypeStateIssuer
212649604OtherUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000214 CA Practitioner - Clinical Social Worker 7113191552 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 S Beverly Dr
Suite 307
Beverly Hills, CA 90212-4309
Phone (323) 333-7390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS10456CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1417099953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HI POINT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352610",
            "telephone_number": "323-333-7390",
            "fax_number": "586-816-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 WILSHIRE BLVD",
            "address_2": "SUITE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112975",
            "telephone_number": "323-333-7390",
            "fax_number": "586-816-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN-MOND",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "212649604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.