Active NPI
Crystal Sosa, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1619440187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106527
- Practice address
- 4867 W Sunset Blvd
Los Angeles, CA 90027-5969 - Phone
- (323) 783-4371
- NPI assigned
- Jan 8, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106527 | CA | Primary |
Addresses
Primary practice location
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Mailing address
1505 N Edgemont St FL 1
Los Angeles, CA 90027-5209
Other practice location 1
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000
Other practice location 2
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
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 |
|---|---|---|---|
| 106527 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1619440187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 N EDGEMONT ST FL 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275969",
"telephone_number": "323-783-4371"
}
],
"practiceLocations": [
{
"address_1": "1509 Wilson Ter",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912064007",
"country_code": "US",
"telephone_number": "818-409-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3031 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073033",
"country_code": "US",
"telephone_number": "323-373-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOSA",
"first_name": "CRYSTAL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "106527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.