Active NPI
Civic Passage Foundation
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1811891005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CIVIC PASSAGE FOUNDATION
- Practice address
- 4336 Alla Rd
Los Angeles, CA 90066-6101 - Phone
- (310) 628-5482
- Fax
- (323) 395-0641
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew James Salerno, ASW
- Title
- Founder/Therapist
- Phone
- (310) 628-5482
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
4336 Alla Rd
Los Angeles, CA 90066-6101
Mailing address
2424 Hill St
Santa Monica, CA 90405-6004
Phone (310) 628-5482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1871393165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1811891005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 HILL ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904056004",
"telephone_number": "310-628-5482",
"fax_number": "323-395-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4336 ALLA RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666101",
"telephone_number": "310-628-5482",
"fax_number": "323-395-0641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIVIC PASSAGE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "SALERNO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "FOUNDER/THERAPIST",
"authorized_official_telephone_number": "310-628-5482",
"authorized_official_credential": "ASW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.