Stacey Datnow, LCSW, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

STACEY DATNOW, LCSW, INC.

Practice address

28348 Roadside Dr Ste 201
Agoura Hills, CA 91301-2596

Phone

(818) 276-3242

Fax

(818) 699-6053

NPI assigned

Sep 20, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Fran Datnow, LCSW

Title

Owner/Psychotherapist

Phone

(310) 990-0307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1568078061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28348 ROADSIDE DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012596",
            "telephone_number": "310-990-0307",
            "fax_number": "818-699-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28348 ROADSIDE DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012596",
            "telephone_number": "818-276-3242",
            "fax_number": "818-699-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S Beverly Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124427",
            "country_code": "US",
            "telephone_number": "818-276-3242",
            "fax_number": "818-699-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STACEY DATNOW, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "DATNOW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "FRAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "310-990-0307",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1295836963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jason Michael Steinberg
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• Adult Mental Health Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.