Kathleen E. Sargeant, LCSW
Individual provider Active NPI Social Worker · Los Angeles, CA
NPI 1679580799 · NPPES record last updated Apr 7, 2011
Key facts
- NPI
- 1679580799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LCS21967 (CA)
- Practice address
- 90303 Box
Los Angeles, CA 90009-0303 - Phone
- (800) 854-5506
- Fax
- (800) 854-8806
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21967 | CA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS21967 | CA | Yes |
Addresses
Primary practice location
90303 Box
Los Angeles, CA 90009-0303
Mailing address
PO Box 90303
Los Angeles, CA 90009-0303
Phone (800) 854-5506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS21967 | Other | CA | BOARD OF BEHAVIORAL SCIEN |
Other providers in Los Angeles, CA
- Tara Sardesai
- Elaheh Sareban
- Farhood Saremi
- Niosha Sarfallah
- Angela Marie Sarff
- Michael E Sargeant
- Barbara Sargent
- Carla Emilce Sargiotto
- Sargissian Dental Corporation
- Sophia Sargissian
All providers in Los Angeles, CA · Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.