Michele Laks London, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 6150 Issued in CA

Practice address

12520 High Bluff Dr
#135
San Diego, CA 92130-2041

Phone

(858) 602-2416

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Jewish Family Service of San Diego

  • Voluntary or Charitable Agency
  • San Diego, CA
  • NPI 1760477467
  Medicare reassignment NPD
• Silver Lake Psychology Inc.

  • Psychologist
  • Los Angeles, CA
  • NPI 1932651817
  Medicare reassignment

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1629296140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 DEL MAR HEIGHTS RD",
            "address_2": "#306",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143100",
            "telephone_number": "619-990-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 HIGH BLUFF DR",
            "address_2": "#135",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302041",
            "telephone_number": "858-602-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MICHELE",
        "middle_name": "LAKS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 6150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "BSLCS061500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R. Londo, MD
• Bo K London, NONE
• Damon N. London, M.D.
• Dax London
• Keri Lynn London, M.D.
• Nikolas London, M.D.
• Sheila Ann London
• Jhon Londonoescarria
• Melissa Faina Lone, LAC
• Joseph Tyler Lonergan, M.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Nov 5, 2011; 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.