Wellbody Psychotherapy, Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLBODY PSYCHOTHERAPY, LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

12411 W Fielding Cir Apt 4208
Playa Vista, CA 90094-2580

Phone

(310) 720-5287

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Paulina Soble, LCSW

Title

Co-Founder

Phone

(310) 720-5287

Specialties & licenses 1

Addresses

Other names 1

• WellBody Psychotherapy Doing business as

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1760216345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 W FIELDING CIR APT 4208",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942580",
            "telephone_number": "310-720-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 W FIELDING CIR APT 4208",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942580",
            "telephone_number": "310-720-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBODY PSYCHOTHERAPY, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SOBLE",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "310-720-5287",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBody Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Playa Vista, CA
• Providers in Playa Vista, 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 Aug 27, 2024; 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.