Active NPI
Erin Scamurra
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1417317157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95107
- Practice address
- 4203 Clayton Ave
Los Angeles, CA 90027-1501 - Phone
- (323) 603-7765
- NPI assigned
- Feb 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW70286 | CA | |
| Clinical Social Worker | 1041C0700X | 95107 | CA | Primary |
Addresses
Primary practice location
4203 Clayton Ave
Los Angeles, CA 90027-1501
Mailing address
4203 Clayton Ave
Los Angeles, CA 90027-1501
Phone (323) 603-7765
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 |
|---|---|---|---|
| ASW70286 | CA | MD | Mental Health Counselor |
| 95107 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1417317157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 CLAYTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271501",
"telephone_number": "323-603-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 CLAYTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271501",
"telephone_number": "323-603-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAMURRA",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW70286",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95107",
"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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.