Active NPI
Alyson Edwards
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1811393994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76918
- Practice address
- 1328 W Manchester Ave
Los Angeles, CA 90044 - Phone
- (323) 778-9595
- Fax
- (323) 778-0028
- NPI assigned
- Nov 17, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76918 | CA | Primary |
Addresses
Primary practice location
1328 W Manchester Ave
Los Angeles, CA 90044
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612
Other practice location 1
4025 W 226th St
Torrance, CA 90505-2340
Phone (310) 373-4556
Other practice location 2
4025 W 226th St
Torrance, CA 90505-2340
Phone (310) 373-4556
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 |
|---|---|---|---|
| 76918 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Didi Hirsch Psychiatric Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1164553145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1811393994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "310-390-6612",
"fax_number": "310-398-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90044",
"telephone_number": "323-778-9595",
"fax_number": "323-778-0028"
}
],
"practiceLocations": [
{
"address_1": "4025 W 226th St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905052340",
"country_code": "US",
"telephone_number": "310-373-4556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4025 W 226th St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905052340",
"country_code": "US",
"telephone_number": "310-373-4556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "ALYSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76918",
"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 Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.