Active NPI
Wendy Doucette, PSYD, LCSW
- Clinical Social Worker
- Beverly Hills, CA
National Provider Identifier
1679780290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21529
- Practice address
- 9171 Wilshire Blvd
PH #2
Beverly Hills, CA 90210-5530 - Phone
- (310) 246-3432
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21529 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd
PH #2
Beverly Hills, CA 90210-5530
Mailing address
9171 Wilshire Blvd
PH #2
Beverly Hills, CA 90210-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EPS 014340 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21529 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679780290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD",
"address_2": "PH #2",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD",
"address_2": "PH #2",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105530",
"telephone_number": "310-246-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "WENDY",
"credential": "PSYD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "EPS 014340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.