Active NPI
Spencer Daniel Presler, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1659638856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27661
- Practice address
- 3469 Kelton Ave
Los Angeles, CA 90034-5303 - Phone
- (951) 468-5279
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27661 | CA | Primary |
Addresses
Primary practice location
3469 Kelton Ave
Los Angeles, CA 90034-5303
Mailing address
333 Washington Blvd # 116
Marina del Rey, CA 90292-5136
Phone (951) 468-5279
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27661 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1659638856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WASHINGTON BLVD # 116",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925136",
"telephone_number": "951-468-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3469 KELTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345303",
"telephone_number": "951-468-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLER",
"first_name": "SPENCER",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27661",
"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 Mar 1, 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.