Kevin Gregory Farrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22616 Issued in CA

Practice address

1626 Westwood Blvd
Suite # 102
Los Angeles, CA 90024-5621

Phone

(213) 973-4416

Fax

(213) 973-4416

NPI assigned

Jan 4, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1598035834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 WESTWOOD BLVD",
            "address_2": "SUITE # 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245621",
            "telephone_number": "213-973-4416",
            "fax_number": "213-973-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 WESTWOOD BLVD",
            "address_2": "SUITE # 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245621",
            "telephone_number": "213-973-4416",
            "fax_number": "213-973-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KEVIN",
        "middle_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Joseph Farrell III, M.D.
• Angela Bonacquisti Farrell
• Bita Zadeh Farrell, MD
• Dinah Frances Farrell
• Eric D Farrell, MD
• Matthew Joseph Farrell
• Michael Farrell, MS, LAC
• Stella Marie Farrell
• Teagan Michaela Farrell
• Yvonne R Farrell, LAC, DAOM

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.