NPIMap

Organization Active NPI

Gay and Lesbian Social Services Agency, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1568594174
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GAY AND LESBIAN SOCIAL SERVICES AGENCY, INC.
Practice address
735 S la Brea Ave
Los Angeles, CA 90036-4208
Phone
(323) 934-7739
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Ms. Teresa Decrescenzo, LCSW
Title
Executive Director
Phone
(818) 239-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

735 S la Brea Ave
Los Angeles, CA 90036-4208

Mailing address

1033 N Hollywood Way
Unit F
Burbank, CA 91505-2540
Phone (818) 239-0112

Other names 1

  • GLASS, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Gay and Lesbian Adolescent Social Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1568594174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N HOLLYWOOD WAY",
            "address_2": "UNIT F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052540",
            "telephone_number": "818-239-0112",
            "fax_number": "818-239-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364208",
            "telephone_number": "323-934-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAY AND LESBIAN SOCIAL SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "DECRESCENZO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-239-0112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLASS, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 8, 2008; 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.