Active NPI
Miranda Renee Mestas Vatterott, ASW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1578289963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW87839
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW87839 | CA | MD | Social 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.