NPIMap

Individual provider Active NPI

Leeat Fitzer

  • Clinical Social Worker
  • Reseda, CA
National Provider Identifier
1508385055
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
74350 Issued in CA
Practice address
19016 Archwood St Unit 6
Reseda, CA 91335-5142
Phone
(805) 807-4365
NPI assigned
Sep 15, 2017
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 74350 CA Primary

Addresses

Primary practice location

19016 Archwood St Unit 6
Reseda, CA 91335-5142

Mailing address

19016 Archwood St Unit 6
Reseda, CA 91335-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001655 CA Practitioner - Clinical Social Worker 7911436027 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Dec 20, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 2, 2026 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1508385055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 ARCHWOOD ST UNIT 6",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 ARCHWOOD ST UNIT 6",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355142",
            "telephone_number": "805-807-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZER",
        "first_name": "LEEAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.