Individual provider Active NPI

Miranda Renee Mestas Vatterott, ASW

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1578289963
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW87839 Issued in CA
Practice address
8075 W 3Rd St
Los Angeles, CA 90048-4318
Phone
(424) 587-5224
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW87839 CA Primary

Addresses

Primary practice location

8075 W 3Rd St
Los Angeles, CA 90048-4318

Mailing address

5120 Mesmer Ave
Culver City, CA 90230-6039
Phone (310) 503-4492

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL norinamurphylcsw.com Norina Murphy MSW, LCSW & Associates

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
ASW87839CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1578289963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MESMER AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306039",
            "telephone_number": "310-503-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484318",
            "telephone_number": "424-587-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTEROTT",
        "first_name": "MIRANDA",
        "middle_name": "RENEE MESTAS",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW87839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "norinamurphylcsw.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Norina Murphy MSW, LCSW & Associates",
            "address_1": "8075 W 3rd St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900484318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.