Organization Active NPI

Los Angeles Unified School District

  • School Social Worker
  • Los Angeles, CA
National Provider Identifier
1679570980
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
LOS ANGELES UNIFIED SCHOOL DISTRICT
Practice address
439 W 97TH St
Los Angeles, CA 90003-3968
Phone
(213) 241-0558
Fax
(213) 241-8458
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
John Dicecco
Title
Director
Phone
(213) 241-3846

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X SS1964733 CA
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X SS1964733 CA
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X CA Primary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X SS1964733 CA
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X SS1964733 CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X SS1964733 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X SS1964733 CA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X SS1964733 CA
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X SS1964733 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SS1964733 CA
Local Education Agency (LEA) 251300000X SS1964733 CA
Public Health or Welfare Agency 251K00000X SS1964733 CA
Community/Behavioral Health Agency 251S00000X 0315 CA
School Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LS0200X SS1964733 CA

Addresses

Primary practice location

439 W 97TH St
Los Angeles, CA 90003-3968

Mailing address

333 S Beaudry Ave
SHHS - Cost Recovery 29-216-02
Los Angeles, CA 90017-1466
Phone (213) 241-0558

Other identifiers 2

IdentifierTypeStateIssuer
SS1964733MedicaidCA
0315MedicaidCA

Other names 1

  • LAUSD 97th Street School MH Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lausd 97TH St Valleysmh7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1679570980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BEAUDRY AVE",
            "address_2": "SHHS - COST RECOVERY 29-216-02",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171466",
            "telephone_number": "213-241-0558",
            "fax_number": "213-241-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W 97TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033968",
            "telephone_number": "213-241-0558",
            "fax_number": "213-241-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "DICECCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-241-3846"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "0315",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, School",
            "state": "CA",
            "license": "SS1964733",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS1964733",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUSD 97th Street School MH Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2012; 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.