Individual provider Active NPI

Deborah Huang, LCSW

  • Clinical Social Worker
  • Thousand Oaks, CA
National Provider Identifier
1497825368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17754 Issued in CA
Practice address
425 E. Thousand Oaks Blvd.
Suite 105
Thousand Oaks, CA 91360-0000
Phone
(805) 405-2804
Fax
(805) 494-9357
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS17754 CA Primary

Addresses

Primary practice location

425 E. Thousand Oaks Blvd.
Suite 105
Thousand Oaks, CA 91360-0000

Mailing address

115 Larkhill St
Thousand Oaks, CA 91360-2832
Phone (805) 300-0247

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928003205 CA Practitioner - Clinical Social Worker 1759707714 Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Hodencamp Rd
Suite 100
Thousand Oaks, CA 91360-5833
Phone (805) 405-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17754CAMDClinical Psychologist
LCS17754CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497825368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LARKHILL ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602832",
            "telephone_number": "805-300-0247",
            "fax_number": "805-494-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E. THOUSAND OAKS BLVD.",
            "address_2": "SUITE 105",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913600000",
            "telephone_number": "805-405-2804",
            "fax_number": "805-494-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.