Individual provider Active NPI

Hussain Johnee Elhaouli, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1831590389
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW96416 Issued in CA
Practice address
3154 Glendale Blvd # 1059
Los Angeles, CA 90039-1830
Phone
(626) 671-2779
NPI assigned
Sep 15, 2014
Reactivated
Sep 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X LCSW96416 CA Primary

Addresses

Primary practice location

3154 Glendale Blvd # 1059
Los Angeles, CA 90039-1830

Mailing address

3154 Glendale Blvd # 1059
Los Angeles, CA 90039-1830
Phone (626) 671-2779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW96416CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1831590389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 GLENDALE BLVD # 1059",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391830",
            "telephone_number": "626-671-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 GLENDALE BLVD # 1059",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391830",
            "telephone_number": "626-671-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAOULI",
        "first_name": "HUSSAIN",
        "middle_name": "JOHNEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "deactivation_date": "2020-10-05",
        "reactivation_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW96416",
            "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 May 22, 2025; 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.