NPIMap

Organization Active NPI

Nokdu Therapy a Licensed Clinical Social Worker Professional Corp

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1578289765
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOKDU THERAPY A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP
Practice address
4010 Sawtelle Blvd
Los Angeles, CA 90066-5408
Phone
(213) 394-2665
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Jessica LeeNPI 1457727216
Title
Owner
Phone
(213) 394-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4010 Sawtelle Blvd
Los Angeles, CA 90066-5408

Mailing address

4010 Sawtelle Blvd
Los Angeles, CA 90066-5408
Phone (213) 394-2665

National Provider Directory

National Provider Directory

Locations

4010 Sawtelle Blvd
Los Angeles, CA 90066
Phone (213) 290-3870

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1578289765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665408",
            "telephone_number": "213-394-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665408",
            "telephone_number": "213-394-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKDU THERAPY A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-394-2665"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Oct 19, 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.