Active NPI
Victoria L. Polk
- Social Worker
- Lynwood, CA
National Provider Identifier
1710168414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2640 Industry Way
Lynwood, CA 90262-4284 - Phone
- (424) 213-1150
- Fax
- (424) 213-1158
- NPI assigned
- Nov 21, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2640 Industry Way
Lynwood, CA 90262-4284
Mailing address
2640 Industry Way Street
Los Angeles, CA 90262
Phone (424) 213-1150
Other names 1
- Ms. Victoria L. Thomas
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
Interoperability endpoints
- victoria.thomaslcsw.p1@direct.jwch.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1710168414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90262",
"telephone_number": "424-213-1150",
"fax_number": "424-213-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "424-213-1150",
"fax_number": "424-213-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLK",
"first_name": "VICTORIA",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "THOMAS",
"middle_name": "L.",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.