Nicole L Matsumoto, ASW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33736 Issued in CA

Practice address

8836 S Vermont Ave
Los Angeles, CA 90044-4832

Phone

(323) 751-3026

Fax

(323) 751-3424

NPI assigned

Mar 8, 2007

Last updated

May 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nicole L Gardner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1821129891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444832",
            "telephone_number": "323-751-3026",
            "fax_number": "323-751-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444832",
            "telephone_number": "323-751-3026",
            "fax_number": "323-751-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "33736",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIAL CLINICAL SOCIAL WORKER REGISTRATION NUMBER -",
            "identifier": "ASW 33736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GARDNER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Naomi Matsui-Barrett
• Shane Tashiro Matsui, LCSW
• Ellen Reiko Matsumoto, OD
• Jon David Matsumoto
• Joyce Matsumoto, M.D.
• Shuichi Matsumoto
• Takeshi Matsumoto, M.D.
• Loren K. Matsumura, OTR/L
• Yasuhiro Matsumura
• Douglas Matsunaga

• Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.