Active NPI
Richard Avram Zuckerwise, PHD, LCSW
- Social Worker
- Woodland Hills, CA
National Provider Identifier
1508840752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 10021
- Practice address
- 21243 Ventura Blvd
Suite 205
Woodland Hills, CA 91364-2123 - Phone
- (818) 999-6452
- Fax
- (818) 999-5912
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 | LCS 10021 | CA | Primary |
Addresses
Primary practice location
21243 Ventura Blvd
Suite 205
Woodland Hills, CA 91364-2123
Mailing address
21243 Ventura Blvd
Suite 205
Woodland Hills, CA 91364-2123
Phone (818) 999-6452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3097332 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051115000388 | CA | Practitioner - Clinical Social Worker | 2163441536 | Practice locations: Calabasas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Calabasas, CA 91302
Phone (818) 481-2251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 10021 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508840752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21243 VENTURA BLVD",
"address_2": "SUITE 205",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642123",
"telephone_number": "818-999-6452",
"fax_number": "818-999-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21243 VENTURA BLVD",
"address_2": "SUITE 205",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642123",
"telephone_number": "818-999-6452",
"fax_number": "818-999-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERWISE",
"first_name": "RICHARD",
"middle_name": "AVRAM",
"name_prefix": "Dr.",
"credential": "PHD, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 10021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3097332",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.