Active NPI
Elizabeth Danielle Mead, LCSW
- Clinical Social Worker
- Santa Monica, CA
National Provider Identifier
1710018429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 23538
- Practice address
- Santa Monica Rape Treatment Center
1250 16TH Street
Santa Monica, CA 90404 - Phone
- (310) 319-4503
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCS 23538 | CA | Primary |
Addresses
Primary practice location
Santa Monica Rape Treatment Center
1250 16TH Street
Santa Monica, CA 90404
Mailing address
6309 Pacific Ave
#18
Playa del Rey, CA 90293-7560
Phone (323) 644-2000
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 |
|---|---|---|---|
| LCS 23538 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710018429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 PACIFIC AVE",
"address_2": "#18",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937560",
"telephone_number": "323-644-2000",
"fax_number": "323-644-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SANTA MONICA RAPE TREATMENT CENTER",
"address_2": "1250 16TH STREET",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-319-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "ELIZABETH",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 23538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, 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.