Organization Active NPI

Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1629664768
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COREY HIRSCH, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORA
Practice address
3625 E Thousand Oaks Blvd Ste 151
Westlake Village, CA 91362-3558
Phone
(310) 486-8842
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Dr. Corey Hirsch, DSW
Title
Shareholder
Phone
(310) 486-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3625 E Thousand Oaks Blvd Ste 151
Westlake Village, CA 91362-3558

Mailing address

3625 E Thousand Oaks Blvd Ste 151
Westlake Village, CA 91362-3558
Phone (310) 486-8842

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1629664768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 151",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623558",
            "telephone_number": "310-486-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 151",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623558",
            "telephone_number": "310-486-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY HIRSCH, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "310-486-8842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.