Sidra L Gifford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW89976 Issued in CA

Practice address

850 Colorado Blvd Ste 104
Los Angeles, CA 90041-1762

Phone

(626) 616-6237

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1609282748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S EUCLID AVE UNIT 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013165",
            "telephone_number": "626-616-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411762",
            "telephone_number": "626-616-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "SIDRA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Ann Gierat, CRNA
• Samantha Giertych, RD
• Zoe Adams Giesberg
• Akiko Giese, FNP
• Mia Gifford
• Gift of Grace Residence
• Gift of Hope and Healing, Inc. Satellite
• Gift of Hope&Healing Inc
• Gift of Life Sober Living Foundation
• Gifted Healing Inc

• 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 31, 2020; 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.