Erica Lauren Siegal, a Licensed Clinical Social Worker Corportation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ERICA LAUREN SIEGAL, A LICENSED CLINICAL SOCIAL WORKER CORPORTATION

Practice address

14605 Wild Oak Dr
Canyon Country, CA 91387-4724

Phone

(310) 486-0118

NPI assigned

Aug 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Lauren Siegal, LCSWNPI 1184872905

Title

Owner

Phone

(310) 486-0118

Specialties & licenses 4

Addresses

Other names 1

• NEST Harm Reduction & Consulting Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica L Siegal, LCSW

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1184872905
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1457025546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16654 SOLEDAD CANYON RD # 548",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873217",
            "telephone_number": "310-486-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 WILD OAK DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874724",
            "telephone_number": "310-486-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA LAUREN SIEGAL, A LICENSED CLINICAL SOCIAL WORKER CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SIEGAL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-486-0118",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEST Harm Reduction & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isez El
• Elite Care Solutions
• Liana L Eng, M.D.
• Mai Engelberg, PA-C
• Ghazaleh Erfanzadeh, MD.
• Sarah S Erolin
• Angel Joy Malanyaon Estrada, RDHAP
• Kenneth Ezenwa, RN
• Christopher Mark Faldmo, D.C.
• Family Model Behavior Therapy

• Clinical Social Worker in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.