NPIMap

Organization Active NPI

New Antioch Cogic

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1669841490
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW20459 Issued in CA
Legal business name
NEW ANTIOCH COGIC
Practice address
7826 S Vermont Ave
Los Angeles, CA 90044-3530
Phone
(323) 778-7965
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Ms. Laquita S. Suggs, LCSW
Title
Clinical Director
Phone
(323) 778-7965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LCSW20459 CA Primary
Community/Behavioral Health Agency 251S00000X LCSW20459 CA

Addresses

Primary practice location

7826 S Vermont Ave
Los Angeles, CA 90044-3530

Mailing address

7826 S Vermont Ave
Los Angeles, CA 90044-3530
Phone (323) 778-7965

National Provider Directory

National Provider Directory

Locations

7826 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 778-7965

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1669841490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443530",
            "telephone_number": "323-778-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443530",
            "telephone_number": "323-778-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ANTIOCH COGIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "323-778-7965",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW20459",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCSW20459",
            "primary": false
        }
    ],
    "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 Sep 23, 2015; 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.