Individual provider Active NPI

Jennifer Lee Brady, LCSW

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1831405356
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18768 Issued in CA
Practice address
5743 Corsa Ave Ste 103
Westlake Village, CA 91362-6438
Phone
(310) 907-6580
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 18768 CA Primary

Addresses

Primary practice location

5743 Corsa Ave Ste 103
Westlake Village, CA 91362-6438

Mailing address

490 Novara Way
Oak Park, CA 91377-5556
Phone (310) 907-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002162 CA Practitioner - Clinical Social Worker 1951662584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2660 Townsgate Rd
Suite 530
Westlake Village, CA 91361-5711
Phone (310) 907-6580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18768CAMDAddiction (Substance Use Disorder) Counselor
LCS 18768CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Brady Licensed Clinical Social Worker PC Clinical CurrentSince Feb 10, 2025 Accepting new patients
Mindful Focused Therapy- a Psychological Corporation PastSince Dec 13, 2016 Accepting new patients
Laura Lapiana, Psy.D., a Prof. Corp. Past Accepting new patients

Locations

2660 Townsgate Rd
Ste 520
Westlake Village, CA 91361
Phone (310) 907-6580

2660 Townsgate Rd
Ste 530
Westlake Village, CA 91361
Phone (310) 796-7802

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1831405356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NOVARA WAY",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775556",
            "telephone_number": "310-907-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 103",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626438",
            "telephone_number": "310-907-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.