Individual provider Active NPI

Linda Marlene Poverny, PH.D.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1699791202
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LL9543 Issued in CA
Practice address
2001 S Barrington Ave
Suite 222
Los Angeles, CA 90025-5363
Phone
(323) 661-0403
Fax
(323) 667-1253
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LL9543 CA
Mental Health Counselor 101YM0800X LL9543 CA
Clinical Social Worker 1041C0700X LL9543 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Suite 222
Los Angeles, CA 90025-5363

Mailing address

3215 Ettrick St
Los Angeles, CA 90027-2503
Phone (323) 661-0403

Other identifiers 1

IdentifierTypeStateIssuer
LL9543OtherCALICENSE

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LL9543CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699791202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 ETTRICK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272503",
            "telephone_number": "323-661-0403",
            "fax_number": "323-667-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "323-661-0403",
            "fax_number": "323-667-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVERNY",
        "first_name": "LINDA",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LL9543",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LL9543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LL9543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LL9543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.