Individual provider Active NPI

Naomi Blum, LCSW, DCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1629295639
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13815 Issued in CA
Practice address
601 W. 5TH St.
#310
Los Angeles, CA 90071
Phone
(310) 395-8254
Fax
(310) 395-8254
NPI assigned
Apr 19, 2007
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS13815 CA Primary

Addresses

Primary practice location

601 W. 5TH St.
#310
Los Angeles, CA 90071

Mailing address

601 W. 5TH Street #310
#310
Los Angeles, CA 90071
Phone (310) 395-8254

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

LicenseStateTypeSpecialty
LCS13815CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1629295639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W. 5TH STREET #310",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90071",
            "telephone_number": "310-395-8254",
            "fax_number": "310-395-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W. 5TH ST.",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90071",
            "telephone_number": "310-395-8254",
            "fax_number": "310-395-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13815",
            "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 Jul 19, 2013; 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.