Active NPI
Ginny Tal, LCSW
- Clinical Social Worker
- Venice, CA
National Provider Identifier
1710207659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS26082
- Practice address
- 604 Rose Ave
Venice, CA 90291-2767 - Phone
- (310) 664-7670
- Fax
- (310) 392-6642
- NPI assigned
- Jun 2, 2010
- 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 | LCS26082 | CA | Primary |
Addresses
Primary practice location
604 Rose Ave
Venice, CA 90291-2767
Mailing address
604 Rose Ave
Venice, CA 90291-2767
Phone (310) 664-7670
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS26082 | CA | MD | Clinical Social Worker |
| 26082 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1710207659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 ROSE AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902912767",
"telephone_number": "310-664-7670",
"fax_number": "310-392-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 ROSE AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902912767",
"telephone_number": "310-664-7670",
"fax_number": "310-392-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAL",
"first_name": "GINNY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS26082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.