Active NPI
Brianna Diana Doshna, ACSW
- Clinical Social Worker
- South Pasadena, CA
National Provider Identifier
1548736986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111778
- Practice address
- 1499 Huntington Dr Ste 101
South Pasadena, CA 91030-5444 - Phone
- (626) 403-4370
- NPI assigned
- Oct 23, 2018
- Last updated
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 111778 | CA | Primary |
Addresses
Primary practice location
1499 Huntington Dr Ste 101
South Pasadena, CA 91030-5444
Mailing address
PO Box 1103
Sierra Madre, CA 91025-4103
Phone (213) 503-1346
Other practice location 1
631A Maple Ave
Los Angeles, CA 90014-2211
Phone (213) 673-3036
Other names 1
- Brianna Stephens
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 |
|---|---|---|---|
| 111778 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mental Health Court Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Pasadena, CA
- NPI 1285648832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1548736986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1103",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910254103",
"telephone_number": "213-503-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 HUNTINGTON DR STE 101",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910305444",
"telephone_number": "626-403-4370"
}
],
"practiceLocations": [
{
"address_1": "631A Maple Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900142211",
"country_code": "US",
"telephone_number": "213-673-3036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOSHNA",
"first_name": "BRIANNA",
"middle_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "111778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "STEPHENS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.