Individual provider Active NPI

Jennifer Nahum, LCSW

  • Clinical Social Worker
  • Beverly Hills, CA
National Provider Identifier
1558412783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 20567 Issued in CA
Practice address
333 S Beverly Dr
207
Beverly Hills, CA 90212-4314
Phone
(310) 630-3727
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 20567 CA Primary

Addresses

Primary practice location

333 S Beverly Dr
207
Beverly Hills, CA 90212-4314

Mailing address

1351 N Crescent Heights Blvd
218
West Hollywood, CA 90046-4561
Phone (310) 308-8229

Other identifiers 1

IdentifierTypeStateIssuer
LCS 20567OtherCALICENSE NUMBER

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
LCS 20567CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558412783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 N CRESCENT HEIGHTS BLVD",
            "address_2": "218",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464561",
            "telephone_number": "310-308-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BEVERLY DR",
            "address_2": "207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124314",
            "telephone_number": "310-630-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHUM",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 20567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LCS 20567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.