Active NPI
Crystal Klements
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1740902014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW124265
- Practice address
- 12001 W Washington Blvd
Los Angeles, CA 90066-5801 - Phone
- (310) 915-4515
- NPI assigned
- Sep 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Clinical Social Worker | 1041C0700X | ASW124265 | CA | Primary |
Addresses
Primary practice location
12001 W Washington Blvd
Los Angeles, CA 90066-5801
Mailing address
12001 W Washington Blvd
Los Angeles, CA 90066-5801
Phone (310) 915-4515
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW124265 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1740902014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665801",
"telephone_number": "310-915-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665801",
"telephone_number": "310-915-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMENTS",
"first_name": "CRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW124265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Steven Mitchell Kleinman, DMD
- Sidney Kleinmeyer, RDN
- Kleinmind Psychiatry & Wellness, a Nursing Professional Corporation
- Kimberly Kay Kleinschmidt, R.N.
- Kimberly Kleinsorge, R.N.
- Vera Klesic, TECHNICIAN
- Nancy Kless, LCSW
- Jill Marie Klessig, MD
- Carissa Leigh Klevens-Thomas, PH.D.
- Eleonora Kleyman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.