Healing Blue Inc a Licensed Clinical Social Worker Coporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW80703 Issued in CA

Legal business name

HEALING BLUE INC A LICENSED CLINICAL SOCIAL WORKER COPORATION

Practice address

10315 Woodley Ave Ste 215
Granada Hills, CA 91344-6950

Phone

(818) 945-9075

NPI assigned

May 7, 2018

Last updated

Mar 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Martinez, LCSWNPI 1235636473

Title

Owner

Phone

(323) 351-3633

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria G Martinez, LCSW

  • Clinical Social Worker
  • Granada Hills, CA
  • NPI 1235636473
  Authorized official Same address or phone
• Dinusha De Silva- Carrasco, DSW, LCSW

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1194127043
  NPD (past)
• Mary Jane Julius, PSYD

  • Clinical Psychologist
  • Mission Hills, CA
  • NPI 1588788020
  NPD (past)
• Annemarie Scipioni, LCSW

  • Clinical Social Worker
  • North Hills, CA
  • NPI 1376810929
  NPD (past)
• S. Faye Snyder, PSY.D

  • Psychologist
  • Granada Hills, CA
  • NPI 1548371461
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1457840258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 HORACE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445322",
            "telephone_number": "323-351-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 215",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446950",
            "telephone_number": "818-945-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BLUE INC A LICENSED CLINICAL SOCIAL WORKER COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2023-03-16",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-351-3633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW80703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "80703",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Esther K Hefets, DPT

• Clinical Social Worker in Granada Hills, CA
• Providers in Granada Hills, 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 Mar 16, 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.

Verify at the official NPI Registry.