Individual provider Active NPI

Ingrid Lobben, MSW

  • Clinical Social Worker
  • Marina del Rey, CA
National Provider Identifier
1649768201
Registry record updated Apr 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW72416 Issued in CA
Practice address
13810 NW Passage Apt 106
Marina del Rey, CA 90292-7469
Phone
(917) 331-2888
NPI assigned
Apr 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2018

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 ASW72416 CA Primary

Addresses

Primary practice location

13810 NW Passage Apt 106
Marina del Rey, CA 90292-7469

Mailing address

13810 NW Passage Apt 106
Marina del Rey, CA 90292-7469
Phone (917) 331-2888

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
ASW72416CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524873600000",
    "number": "1649768201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 NW PASSAGE APT 106",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927469",
            "telephone_number": "917-331-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 NW PASSAGE APT 106",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927469",
            "telephone_number": "917-331-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBBEN",
        "first_name": "INGRID",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW72416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; 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.