Individual provider Active NPI

Rebecca J. Danelski, LCSW

  • Clinical Social Worker
  • Culver City, CA
National Provider Identifier
1730308263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18064 Issued in CA
Practice address
10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659
Phone
(310) 876-4052
Fax
(310) 876-5042
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS18064 CA Primary

Addresses

Primary practice location

10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659

Mailing address

10811 Washington Blvd
Suite 280
Culver City, CA 90232-3659
Phone (310) 876-4052

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100708000998 CA Practitioner - Clinical Social Worker 2365406816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10811 Washington Blvd
Suite 280
Culver City, CA 90232-3653
Phone (310) 629-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS18064CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Danelski Licensed Clinical Social Worker, Inc. Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

10811 Washington Blvd
Ste 280
Culver City, CA 90232
Phone (310) 629-0400

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730308263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD",
            "address_2": "SUITE 280",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323659",
            "telephone_number": "310-876-4052",
            "fax_number": "310-876-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD",
            "address_2": "SUITE 280",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323659",
            "telephone_number": "310-876-4052",
            "fax_number": "310-876-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANELSKI",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.