Individual provider Active NPI

Sylvia Maria Gribbell, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1841501913
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61300 Issued in CA
Practice address
E-15 Olvera Street
Los Angeles, CA 90012
Phone
(310) 963-5295
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW 32016 CA
Clinical Social Worker 1041C0700X ASW 18680 CA
Clinical Social Worker 1041C0700X 61300 CA Primary

Addresses

Primary practice location

E-15 Olvera Street
Los Angeles, CA 90012

Mailing address

236 W Mountain St Ste 103
Pasadena, CA 91103-2968
Phone (213) 394-5889

Other practice location 1

3580 Wilshire Blvd
Suite 800
Los Angeles, CA 90010-2501
Phone (213) 637-5000 ext. 3713

Other practice location 2

236 W Mountain St Ste 103
Pasadena, CA 91103-2968
Phone (213) 394-5889

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 32016CAMDMental Health Counselor
61300CAMDClinical Social Worker
ASW 18680CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1841501913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MOUNTAIN ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032968",
            "telephone_number": "213-394-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E-15 OLVERA STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "310-963-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Wilshire Blvd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900102501",
            "country_code": "US",
            "telephone_number": "213-637-5000 x3713",
            "fax_number": "213-637-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 W Mountain St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911032968",
            "country_code": "US",
            "telephone_number": "213-394-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIBBELL",
        "first_name": "SYLVIA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 32016",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 18680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "61300",
            "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 Jan 26, 2023; 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.