Active NPI
Diann Warsaw
- Social Worker
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99452
- Practice address
- 12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019 - Phone
- (424) 454-6015
- NPI assigned
- Jan 23, 2009
- Last updated
- Oct 21, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ASW99542 | CA | |
| Mental Health Counselor | 101YM0800X | ASW99542 | CA | |
| Social Worker | 104100000X | 99452 | CA | Primary |
Addresses
Primary practice location
12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019
Mailing address
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026
Other practice location 1
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126
Other practice location 2
6838 W Sunset Blvd
Los Angeles, CA 90028
Phone (323) 461-3161
Other practice location 3
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026
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 |
|---|---|---|---|
| ASW99542 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 99452 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1447498753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE BLDG 18",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "424-454-6015"
}
],
"practiceLocations": [
{
"address_1": "15519 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902494525",
"country_code": "US",
"telephone_number": "310-679-9126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6838 W Sunset Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90028",
"country_code": "US",
"telephone_number": "323-461-3161",
"fax_number": "323-461-5683",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3850 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900081821",
"country_code": "US",
"telephone_number": "323-751-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARSAW",
"first_name": "DIANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "ASW99542",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW99542",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "99452",
"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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.