NPIMap

Organization Active NPI

Clinical Affiliates a Licensed Clinical Social Workers Corp Inc

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1467792341
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2857 Issued in CA
Legal business name
CLINICAL AFFILIATES A LICENSED CLINICAL SOCIAL WORKERS CORP INC
Practice address
737 Halliday Ave
Los Angeles, CA 90049-2041
Phone
(310) 440-5050
Fax
(818) 787-5870
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Rosalyn Benitez-Bloch, D.S.W.
Title
Owner
Phone
(310) 440-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW2857 CA Primary

Addresses

Primary practice location

737 Halliday Ave
Los Angeles, CA 90049-2041

Mailing address

737 Halliday Ave
Los Angeles, CA 90049-2041
Phone (310) 440-5050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1467792341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 HALLIDAY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492041",
            "telephone_number": "310-440-5050",
            "fax_number": "818-787-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 HALLIDAY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492041",
            "telephone_number": "310-440-5050",
            "fax_number": "818-787-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL AFFILIATES A LICENSED CLINICAL SOCIAL WORKERS CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "BENITEZ-BLOCH",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-440-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "SW2857",
            "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 Jun 14, 2013; 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.