NPIMap

Organization Active NPI

McMahon Bridgewater Tolan License Clinical Social Workers Inc

Doing business as Simunye Wellness and Mental Health Services

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1548506173
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 26631 Issued in CA
Legal business name
MCMAHON BRIDGEWATER TOLAN LICENSE CLINICAL SOCIAL WORKERS INC
Doing business as
Simunye Wellness and Mental Health Services
Practice address
4859 W Slauson Ave
Suite 116
Los Angeles, CA 90056-1290
Phone
(310) 929-0380
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mrs. Nicole McMahon, LCSWNPI 1346369444
Title
President
Phone
(310) 929-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS 26631 CA Primary

Addresses

Primary practice location

4859 W Slauson Ave
Suite 116
Los Angeles, CA 90056-1290

Mailing address

4859 W Slauson Ave
Suite 116
Los Angeles, CA 90056-1290

Other names 1

  • Simunye Wellness and Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

4859 W Slauson Ave
#116
Los Angeles, CA 90056
Phone (310) 929-0380

4859 W Slauson Ave
Ste 116
Los Angeles, CA 90056
Phone (310) 929-0380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1548506173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE",
            "address_2": "SUITE 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE",
            "address_2": "SUITE 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "310-929-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHON BRIDGEWATER TOLAN LICENSE CLINICAL SOCIAL WORKERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-929-0380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 26631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simunye Wellness and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 13, 2013; 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.