Individual provider Active NPI

Janet Upjohn, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1497467526
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107261 Issued in CA
Practice address
4007 Verdant St
Los Angeles, CA 90039-1318
Phone
(323) 717-8244
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 107261 CA Primary

Addresses

Primary practice location

4007 Verdant St
Los Angeles, CA 90039-1318

Mailing address

4007 Verdant St
Los Angeles, CA 90039-1318
Phone (323) 717-8244

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janetupjohntherapy.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
107261CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1497467526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 VERDANT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391318",
            "telephone_number": "323-717-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 VERDANT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391318",
            "telephone_number": "323-717-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPJOHN",
        "first_name": "JANET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janetupjohntherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure information in support of the client",
            "address_1": "4007 Verdant St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900391318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 20, 2022; 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.