Individual provider Active NPI

Dorothy Jeanne Berndt, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1528082377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 4636 Issued in CA
Practice address
3760 Motor Ave
Suite #311
Los Angeles, CA 90034-6404
Phone
(310) 374-7905
Fax
(310) 374-7905
NPI assigned
Jul 26, 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 LCS 4636 CA Primary

Addresses

Primary practice location

3760 Motor Ave
Suite #311
Los Angeles, CA 90034-6404

Mailing address

3760 Motor Ave
Suite #311
Los Angeles, CA 90034-6404
Phone (310) 374-7905

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 4636CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528082377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 MOTOR AVE",
            "address_2": "SUITE #311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346404",
            "telephone_number": "310-374-7905",
            "fax_number": "310-374-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 MOTOR AVE",
            "address_2": "SUITE #311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346404",
            "telephone_number": "310-374-7905",
            "fax_number": "310-374-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "DOROTHY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 4636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.