Ellen Loretta Striverson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67185 Issued in CA

Practice address

1245 E Walnut St
Suite 117
Pasadena, CA 91106-1878

Phone

(626) 795-9127

Fax

(626) 795-0979

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ellenstriverson-socialmodel@lacsapc.netsmartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD
• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1497834089
  NPD (past)
• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1649545393
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1801924758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 W CALLE DE LAS ESTRELLAS",
            "address_2": "APT. 2",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021722",
            "telephone_number": "626-354-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E WALNUT ST",
            "address_2": "SUITE 117",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061878",
            "telephone_number": "626-795-9127",
            "fax_number": "626-795-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIVERSON",
        "first_name": "ELLEN",
        "middle_name": "LORETTA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "67185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mac Brian Strelioff
• Alyssa Michelle Strenger, PSYD
• Julie Ann Strey, DC
• Latisha Strickland, LCSW
• Joan Margaret Striebel, MD
• Sergio Stubrin, MD
• Jennifer Lyn Sturm, LCSW
• Khin Su
• Kirsten Nicole Suarez
• Victoria Chloe Suarez

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, 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 Jun 7, 2016; 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.