Individual provider Active NPI

Kristina Theresa Maglic, MSW, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1548639750
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95144 Issued in CA
Practice address
6303 Owensmouth Ave Ste 1083B
Woodland Hills, CA 91367-2264
Phone
(818) 384-0558
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74120 CA
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 95144 CA Primary

Addresses

Primary practice location

6303 Owensmouth Ave Ste 1083B
Woodland Hills, CA 91367-2264

Mailing address

6303 Owensmouth Ave
Woodland Hills, CA 91367-2264
Phone (818) 384-0558

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

LicenseStateTypeSpecialty
95144CAMDClinical Social Worker
74120CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1548639750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672264",
            "telephone_number": "818-384-0558",
            "fax_number": "213-241-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE STE 1083B",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672264",
            "telephone_number": "818-384-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIC",
        "first_name": "KRISTINA",
        "middle_name": "THERESA",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "74120",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95144",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 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.

Verify at the official NPI Registry.