Active NPI
Heewan Yoon, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1477844587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS29684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS29684 | CA | MD | Clinical Social Worker |
| 29684 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gardena, CA
- NPI 1376576900
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.