Active NPI
Lakieya Patterson, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1437560927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101058
- Practice address
- 3756 Santa Rosalia Dr Ste 628
Los Angeles, CA 90008-3606 - Phone
- (323) 293-8771
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76252 | CA | |
| Social Worker | 104100000X | 76252 | CA | |
| Clinical Social Worker | 1041C0700X | 76252 | CA | |
| Clinical Social Worker | 1041C0700X | 101058 | CA | Primary |
Addresses
Primary practice location
3756 Santa Rosalia Dr Ste 628
Los Angeles, CA 90008-3606
Mailing address
3756 Santa Rosalia Dr Ste 628
Los Angeles, CA 90008-3606
Phone (323) 293-8771
Other practice location 1
12099 W. Washington Blvd.
Culver city, CA 90066
Phone (310) 751-1184
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 |
|---|---|---|---|
| 101058 | CA | MD | Clinical Social Worker |
| 76252 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1437560927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 628",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083606",
"telephone_number": "323-293-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 628",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083606",
"telephone_number": "323-293-8771"
}
],
"practiceLocations": [
{
"address_1": "12099 W. Washington Blvd.",
"address_purpose": "LOCATION",
"city": "Culver city",
"state": "CA",
"postal_code": "90066",
"country_code": "US",
"telephone_number": "310-751-1184",
"fax_number": "310-313-7652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "LAKIEYA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "76252",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "76252",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76252",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101058",
"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 Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.