Dgmandel a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DGMANDEL A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

5757 Wilshire Blvd Ste 439
Los Angeles, CA 90036-3628

Phone

(310) 579-9355

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Denica Gordon Mandel, M.A., MSW, LCSW

Title

President

Phone

(323) 325-5346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1740881176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N LARCHMONT BLVD # 476",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043704",
            "telephone_number": "323-325-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 439",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363628",
            "telephone_number": "310-579-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGMANDEL A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "GORDON MANDEL",
        "authorized_official_first_name": "DENICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-325-5346",
        "authorized_official_credential": "M.A., MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.