Individual provider Active NPI

Yana Katzap-Nackman, BA, IBCLC, RLC

  • Clinical Social Worker
  • Marina del Rey, CA
National Provider Identifier
1558640409
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118300 Issued in CA
Practice address
13428 Maxella Ave
# 526
Marina del Rey, CA 90292
Phone
(323) 240-6002
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 10931433 CA
Clinical Social Worker 1041C0700X 118300 CA Primary

Addresses

Primary practice location

13428 Maxella Ave
# 526
Marina del Rey, CA 90292

Mailing address

13428 Maxella Ave
# 526
Marina del Rey, CA 90292
Phone (323) 240-6002

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
118300CAMDClinical Social Worker
10931433CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1558640409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13428 MAXELLA AVE",
            "address_2": "# 526",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "323-240-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13428 MAXELLA AVE",
            "address_2": "# 526",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "323-240-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZAP-NACKMAN",
        "first_name": "YANA",
        "name_prefix": "Mrs.",
        "credential": "BA, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "10931433",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.