Keiko Kinoshita, LCSW
Individual provider Active NPI Clinical Social Worker · La, CA
NPI 1578747705 · NPPES record last updated Sep 3, 2010
Key facts
- NPI
- 1578747705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 23742 (CA)
- Practice address
- 3075 Wilshire Blvd., 8TH FL.
Dept of Mental Health-SFC,
La, CA 90010 - Phone
- (310) 717-6603
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23742 | CA | Yes |
Addresses
Primary practice location
3075 Wilshire Blvd., 8TH FL.
Dept of Mental Health-SFC,
La, CA 90010
Mailing address
3075 Wilshire Blvd., 8TH FL.
Dept of Mental Health-SFC,
La, CA 90010
Phone (310) 717-6603
Other providers in La, CA
- Xiuqi Huang
- Vatche Keklikian
- Hee Joon Kim
- Shin Ja Kim
- Young Zoo Kim
- KLM Home Health, Incorporated
- Arusyak Knadzyan
- Suran Ko
- Suet Mui Kong
- Nicole Kumle
All providers in La, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.