Dr. Jordana Mansbacher, LCND Clin SCL Worker a Professional Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21516 Issued in CA

Legal business name

DR. JORDANA MANSBACHER, LCND CLIN SCL WORKER A PROFESSIONAL CORP

Practice address

5519 S Centinela Ave
Suite 105
Los Angeles, CA 90066-6945

Phone

(310) 301-9121

Fax

(310) 390-8578

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jordana Mansbacher, PSY.D, LCSW

Title

Owner/Practitioner

Phone

(310) 301-9121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1831447663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 S CENTINELA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666945",
            "telephone_number": "310-301-9121",
            "fax_number": "310-390-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 S CENTINELA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666945",
            "telephone_number": "310-301-9121",
            "fax_number": "310-390-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JORDANA MANSBACHER, LCND CLIN SCL WORKER A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "MANSBACHER",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "310-301-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.