Active NPI
Wendi Svoboda, LCSW
- Social Worker
- Burbank, CA
National Provider Identifier
1831423383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS24639
- Practice address
- 4444 Riverside Drive
Suite #105
Burbank, CA 91505 - Phone
- (818) 288-6711
- Fax
- (818) 846-7055
- NPI assigned
- Sep 30, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS24639 | CA | Primary |
Addresses
Primary practice location
4444 Riverside Drive
Suite #105
Burbank, CA 91505
Mailing address
4444 Riverside Drive
Suite #105
Burbank, CA 91505
Phone (818) 288-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2020 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS24639 | CA | MD | Social Worker |
| 24639 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1831423383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 RIVERSIDE DRIVE",
"address_2": "SUITE #105",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-288-6711",
"fax_number": "818-846-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 RIVERSIDE DRIVE",
"address_2": "SUITE #105",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-288-6711",
"fax_number": "818-846-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVOBODA",
"first_name": "WENDI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS24639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.