Individual provider Active NPI

Maureen Rotblatt

  • Clinical Social Worker
  • West Hollywood, CA
National Provider Identifier
1669094298
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17648 Issued in CA
Practice address
7007 Romaine St
West Hollywood, CA 90038-2438
Phone
(323) 760-6222
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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 LCS17648 CA Primary

Addresses

Primary practice location

7007 Romaine St
West Hollywood, CA 90038-2438

Mailing address

7007 Romaine St
West Hollywood, CA 90038-2438

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kaiser

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
LCS17648CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1669094298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 ROMAINE ST",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900382438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 ROMAINE ST",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900382438",
            "telephone_number": "323-760-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBLATT",
        "first_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kaiser",
            "affiliation": "N",
            "address_1": "7007 Romaine St",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900382438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.