Individual provider Active NPI

Tamar Colen, LCSW

  • Clinical Social Worker
  • Hermosa Beach, CA
National Provider Identifier
1740799261
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22944 Issued in CA
Practice address
2615 PCH Hwy Ste 324
Hermosa Beach, CA 90254-2227
Phone
(310) 480-4607
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 22944 CA Primary

Addresses

Primary practice location

2615 PCH Hwy Ste 324
Hermosa Beach, CA 90254-2227

Mailing address

2615 PCH Hwy Ste 324
Hermosa Beach, CA 90254-2227
Phone (310) 480-4607

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

LicenseStateTypeSpecialty
22944CAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740799261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PCH HWY STE 324",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542227",
            "telephone_number": "310-480-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PCH HWY STE 324",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542227",
            "telephone_number": "310-480-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEN",
        "first_name": "TAMAR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.