Active NPI
Elaine Louise Segal, LCSW
- Social Worker
- North Hollywood, CA
National Provider Identifier
1780726679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW17262
- Practice address
- 12821 Victory Blvd
North Hollywood, CA 91606-3012 - Phone
- (818) 984-1380
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SW17262 | CA | Primary |
Addresses
Primary practice location
12821 Victory Blvd
North Hollywood, CA 91606-3012
Mailing address
19137 Vista Grande Way
Northridge, CA 91326-1230
Phone (818) 984-1380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW17262 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17262 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780726679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19137 VISTA GRANDE WAY",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261230",
"telephone_number": "818-984-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063012",
"telephone_number": "818-984-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "ELAINE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "SW17262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SW17262",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.