Active NPI
Edana Eugena S Magee, ASW 74184
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1710361613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW100671
- Practice address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008-1821 - Phone
- (323) 751-0326
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW74184 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | LCSW100671 | CA | Primary |
Addresses
Primary practice location
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Mailing address
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-0326
Other practice location 1
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone (323) 751-3026
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 |
|---|---|---|---|
| ASW74184 | CA | MD | Mental Health Counselor |
| LCSW100671 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/scharpca/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1083743082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1710361613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-0326"
}
],
"practiceLocations": [
{
"address_1": "8836 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900444832",
"country_code": "US",
"telephone_number": "323-751-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGEE",
"first_name": "EDANA",
"middle_name": "EUGENA S",
"credential": "ASW 74184",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW74184",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW100671",
"primary": true
}
],
"identifiers": [],
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.