Individual provider Active NPI

Michelle Ettie Scharlin, LCSW, MPH

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1497067201
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27863 Issued in CA
Practice address
UCLA Caps
John Wooden Center West Box 951556
Los Angeles, CA 90095-1556
Phone
(310) 825-0768
Fax
(310) 206-7365
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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 27863 CA Primary

Addresses

Primary practice location

UCLA Caps
John Wooden Center West Box 951556
Los Angeles, CA 90095-1556

Mailing address

UCLA Caps
John Wooden Center West Box 951556
Los Angeles, CA 90095-1556
Phone (310) 825-0768

Other names 1

  • Ms. Michal Ettie Scharlin Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1497067201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA CAPS",
            "address_2": "JOHN WOODEN CENTER WEST BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768",
            "fax_number": "310-206-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA CAPS",
            "address_2": "JOHN WOODEN CENTER WEST BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768",
            "fax_number": "310-206-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARLIN",
        "first_name": "MICHELLE",
        "middle_name": "ETTIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAL",
            "last_name": "SCHARLIN",
            "middle_name": "ETTIE",
            "prefix": "MS.",
            "credential": "LCSW, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2012; 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.