Darelivethrive, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25220 Issued in CA

Legal business name

DARELIVETHRIVE, PC

Practice address

10436 Santa Monica Blvd
Suite 3005 Office #3
Los Angeles, CA 90025-6933

Phone

(818) 370-6423

Fax

(310) 598-7157

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Shane Kennington, LCSW

Title

President

Phone

(818) 370-6423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1669858452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N SWEETZER AVE",
            "address_2": "# 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693045",
            "telephone_number": "818-370-6423",
            "fax_number": "310-598-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "SUITE 3005 OFFICE #3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933",
            "telephone_number": "818-370-6423",
            "fax_number": "310-598-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARELIVETHRIVE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "KENNINGTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-370-6423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Darden
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• Dareen Khalaf MD Inc
• Evanelys Darias, MD
• Laura L Darke, PH.D.
• Leila Darki, M.D
• Darlene Morrissey, D.O., a Medical Corporation
• Marissa Lee Darling, M.D.

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.