Individual provider Active NPI

Stephanie Warusevitane, ACSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1558080325
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
97514 Issued in CA
Practice address
1616 N Poinsettia PL Apt 332
Los Angeles, CA 90046-3594
Phone
(310) 963-9517
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 97514 CA Primary

Addresses

Primary practice location

1616 N Poinsettia PL Apt 332
Los Angeles, CA 90046-3594

Mailing address

1616 N Poinsettia PL Apt 332
Los Angeles, CA 90046-3594
Phone (310) 963-9517

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
97514CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1558080325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N POINSETTIA PL APT 332",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463594",
            "telephone_number": "310-963-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N POINSETTIA PL APT 332",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463594",
            "telephone_number": "310-963-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARUSEVITANE",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97514",
            "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 Aug 25, 2022; 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.