NPIMap

Organization Active NPI

Disability Community Resource Center

Doing business as Wcil

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1649300898
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13153 Issued in CA
Legal business name
DISABILITY COMMUNITY RESOURCE CENTER
Doing business as
Wcil
Practice address
12901 Venice Blvd
Los Angeles, CA 90066-3509
Phone
(310) 390-3611
Fax
(310) 390-4906
NPI assigned
Mar 6, 2007
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
John Kotick
Title
Administrative Compliance Officer
Phone
(310) 390-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS13153 CA Primary

Addresses

Primary practice location

12901 Venice Blvd
Los Angeles, CA 90066-3509

Mailing address

12901 Venice Blvd
Los Angeles, CA 90066-3509
Phone (310) 390-3611

Other names 2

  • WCIL Doing business as
  • Westside Center for Independent Living Former legal business name

National Provider Directory

National Provider Directory

Locations

12901 Venice Blvd
Los Angeles, CA 90066
Phone (310) 390-3611

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1649300898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663509",
            "telephone_number": "310-390-3611",
            "fax_number": "310-390-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663509",
            "telephone_number": "310-390-3611",
            "fax_number": "310-390-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "KOTICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-390-3611"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCIL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Center for Independent Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 13, 2026; 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.