Individual provider Active NPI

Corey Hirsch, LCSW

  • Clinical Social Worker
  • Agoura Hills, CA
National Provider Identifier
1689939670
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
74253 Issued in CA
Practice address
5275 Colodny Dr Agoura Hills
Agoura Hills, CA 91301
Phone
(310) 486-8842
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 74253 CA Primary

Addresses

Primary practice location

5275 Colodny Dr Agoura Hills
Agoura Hills, CA 91301

Mailing address

5627 Kanan Rd # 108
Agoura, CA 91301-3358
Phone (310) 486-8842

Other practice location 1

20969 Ventura Boulevard
Suite 225-C
Woodland Hills, CA 91364
Phone (310) 560-2056

Other practice location 2

3625 E Thousand Oaks Blvd Ste 151
Westlake Village, CA 91362-3558
Phone (310) 486-8842

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Required Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
74253CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Kaplan, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

3625 E Thousand Oaks Blvd
Ste 151
Westlake Village, CA 91362
Phone (310) 486-8842

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1689939670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 KANAN RD # 108",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913013358",
            "telephone_number": "310-486-8842",
            "fax_number": "818-914-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 COLODNY DR AGOURA HILLS",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "310-486-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20969 Ventura Boulevard",
            "address_2": "Suite 225-C",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "91364",
            "country_code": "US",
            "telephone_number": "310-560-2056",
            "fax_number": "818-914-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3625 E Thousand Oaks Blvd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623558",
            "country_code": "US",
            "telephone_number": "310-486-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "COREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Required",
            "affiliation": "Y",
            "affiliationName": "Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora",
            "address_1": "5627 Kanan Rd # 108",
            "city": "Agoura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913013358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.