Active NPI
Tontanesha Hashimoto, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1518507276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112690
- Practice address
- Sud Specialty Group - Ca
4470 W. Sunset Blvd, Ste 107
Los Angeles, CA 90027 - Phone
- (323) 205-7088
- NPI assigned
- Jan 10, 2020
- Last updated
- May 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112690 | CA | Primary |
Addresses
Primary practice location
Sud Specialty Group - Ca
4470 W. Sunset Blvd, Ste 107
Los Angeles, CA 90027
Mailing address
Sud Specialty Group - Ca
4470 W. Sunset Blvd, Ste 107
Los Angeles, CA 90027
Phone (323) 205-7088
Other names 1
- Tontanesha Scott
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 |
|---|---|---|---|
| 112690 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1518507276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUD SPECIALTY GROUP - CA",
"address_2": "4470 W. SUNSET BLVD, STE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-205-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUD SPECIALTY GROUP - CA",
"address_2": "4470 W. SUNSET BLVD, STE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHIMOTO",
"first_name": "TONTANESHA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2023-05-19",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONTANESHA",
"last_name": "SCOTT",
"code": "1",
"type": "Former Name"
}
]
}
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 May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.