Individual provider Active NPI

Nicolette Joanne Bidlingmeyer, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1487944575
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69525 Issued in CA
Practice address
12555 W Jefferson Blvd Ste 301
Los Angeles, CA 90066-7032
Phone
(424) 443-5555
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 69525 CA Primary

Addresses

Primary practice location

12555 W Jefferson Blvd Ste 301
Los Angeles, CA 90066-7032

Mailing address

21707 Hawthorne Blvd Ste 300
Torrance, CA 90503-7016
Phone (323) 737-3900

Other practice location 1

710 E 111th Pl
Los Angeles, CA 90059-1518
Phone (323) 233-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69525CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kedren Community Mental Health Center Past Accepting new patients
1736 Family Crisis Center PastSince May 3, 2020 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1487944575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037016",
            "telephone_number": "323-737-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W JEFFERSON BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667032",
            "telephone_number": "424-443-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E 111th Pl",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900591518",
            "country_code": "US",
            "telephone_number": "323-233-0425",
            "fax_number": "323-232-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDLINGMEYER",
        "first_name": "NICOLETTE",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-01-09",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69525",
            "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 Jan 9, 2024; 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.