Individual provider Active NPI

Heewan Yoon, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1477844587
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS29684 Issued in CA
Practice address
695 S Vermont Ave FL 8
Los Angeles, CA 90005-1349
Phone
(310) 227-4994
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS29684 CA Primary

Addresses

Primary practice location

695 S Vermont Ave FL 8
Los Angeles, CA 90005-1349

Mailing address

695 S Vermont Ave FL 8
Los Angeles, CA 90005-1349
Phone (310) 227-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000951 CA Practitioner - Clinical Social Worker 2860635505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS29684CAMDClinical Social Worker
29684CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Apr 22, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Apr 22, 2024 Accepting new patients

Locations

14112 S Kingsley Dr
Gardena, CA 90249
Phone (310) 217-7312

695 S Vermont Ave
Fl 8
Los Angeles, CA 90005
Phone (213) 351-2813

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1477844587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S VERMONT AVE FL 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051349",
            "telephone_number": "310-227-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S VERMONT AVE FL 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051349",
            "telephone_number": "310-227-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "HEEWAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS29684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.