Meredith Vender, Licensed Clinical Social Worker, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEREDITH VENDER, LICENSED CLINICAL SOCIAL WORKER, PC

Practice address

1180 S Beverly Dr Ste 608
Los Angeles, CA 90035-1158

Phone

(310) 975-5157

NPI assigned

Sep 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meredith Vender, LCSW

Title

Licensed Clinical Social Worker

Phone

(310) 975-5157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1528577400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 S BEVERLY DR STE 608",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351158",
            "telephone_number": "310-975-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 S BEVERLY DR STE 608",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351158",
            "telephone_number": "310-975-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH VENDER, LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "VENDER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "310-975-5157",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.