Jill Klepetar LCSW a Professional Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LCS17594 Issued in CA

Legal business name

JILL KLEPETAR LCSW A PROFESSIONAL CORPORATION

Practice address

4735 White Oak PL
Encino, CA 91316-3726

Phone

(818) 996-7728

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Jill Klepetar, L.C.S.W.

Title

President

Phone

(818) 996-7728

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1841504552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 WHITE OAK PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163726",
            "telephone_number": "818-996-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 WHITE OAK PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163726",
            "telephone_number": "818-996-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL KLEPETAR LCSW A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "KLEPETAR",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-996-7728",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "LCS17594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• JL Medeiros & Co

• Adult Mental Health Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.