Active NPI
Nicole Jean
- Social Worker
- West Hollywood, CA
National Provider Identifier
1497255616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66080
- Practice address
- 933 N la Brea Ave Ste 100
West Hollywood, CA 90038-2337 - Phone
- (323) 499-2650
- NPI assigned
- Feb 14, 2018
- Last updated
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 66080 | CA | Primary |
Addresses
Primary practice location
933 N la Brea Ave Ste 100
West Hollywood, CA 90038-2337
Mailing address
933 N la Brea Ave Ste 100
West Hollywood, CA 90038-2337
Phone (323) 499-2650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66080 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1497255616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 N LA BREA AVE STE 100",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900382337",
"telephone_number": "323-499-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 N LA BREA AVE STE 100",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900382337",
"telephone_number": "323-499-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "66080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.