Individual provider Active NPI

Eva Halevi Kathok, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1780248542
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86515 Issued in CA
Practice address
1452 26TH St Ste 103
Santa Monica, CA 90404-3042
Phone
(310) 926-1118
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 86515 CA Primary

Addresses

Primary practice location

1452 26TH St Ste 103
Santa Monica, CA 90404-3042

Mailing address

1025 Chautauqua Blvd
Pacific Palisades, CA 90272-3807
Phone (310) 926-1118

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1780248542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CHAUTAUQUA BLVD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723807",
            "telephone_number": "310-926-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043042",
            "telephone_number": "310-926-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHOK",
        "first_name": "EVA",
        "middle_name": "HALEVI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.