Active NPI
Katherine Ann Spina, LCSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1760639876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW77975
- Practice address
- 3384 Motor Ave
Los Angeles, CA 90034-3712 - Phone
- (970) 708-7299
- NPI assigned
- Aug 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW77975 | CA | Primary |
Addresses
Primary practice location
3384 Motor Ave
Los Angeles, CA 90034-3712
Mailing address
4169 Via Marina Apt 310
Marina del Rey, CA 90292-5330
Phone (970) 708-7299
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 |
|---|---|---|---|
| LCSW77975 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1760639876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4169 VIA MARINA APT 310",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925330",
"telephone_number": "970-708-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3384 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343712",
"telephone_number": "970-708-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "KATHERINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW77975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.