Teru Judy Kanazawa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27683 Issued in CA

Practice address

1323 East Windsor Rd
Glendale, CA 91205-2662

Phone

(310) 579-2047

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Teru Kanazawa Sheehan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1710010483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 EAST WINDSOR RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052662",
            "telephone_number": "310-579-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 EAST WINDSOR RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052662",
            "telephone_number": "310-579-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAZAWA",
        "first_name": "TERU",
        "middle_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, ALLIED HEALTH",
            "identifier": "11298014100812-001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERU",
            "last_name": "SHEEHAN",
            "middle_name": "KANAZAWA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Babak Kamkar, O.D., Q.M.E.
• Katherine Kampe
• Sirisin Kamsut, MD
• Kamyar Ebrahimi MD Apc
• Brian D Kan, M.D.
• Jean Kang
• Ani Kanian
• Noune Kanousian Sarkisyan, B.A
• Frank Hyman Kanovsky, M.D.
• Kartik Kansagra

• Clinical Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.