Jamie Shara Siegel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112577 Issued in CA

Practice address

2207 Summertime LN
Culver City, CA 90230-4574

Phone

(424) 333-0284

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lauren Muhlheim

  dba Eating Disorder Therapy LA: A Psychology Group

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1932597614
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1467027011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 SUMMERTIME LN",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 SUMMERTIME LN",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304574",
            "telephone_number": "424-333-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 Wilshire Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103859",
            "country_code": "US",
            "telephone_number": "323-743-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JAMIE",
        "middle_name": "SHARA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Antonio Siadat, LCSW
• John Benedict Siangio, COTA
• Taimur Siddiqi
• Nabeeha Siddiqui, MD
• Jessica Anne Siebenmorgen
• Cindy Sieman
• Milbet Sierra
• Sabrina Elizabeth Sigal
• Akasia Silburn
• Jimmy Silvestre, BCBA

• Clinical Social Worker in Culver City, CA
• Providers in Culver City, 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 Jul 10, 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.