Callie Lind Klebanoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS96940 Issued in CA

Practice address

3162 Glenmanor PL
Los Angeles, CA 90039-1713

Phone

(323) 646-6110

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1841899549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 GLENMANOR PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391713",
            "telephone_number": "323-646-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 GLENMANOR PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391713",
            "telephone_number": "323-646-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9777 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902121910",
            "country_code": "US",
            "telephone_number": "323-646-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEBANOFF",
        "first_name": "CALLIE",
        "middle_name": "LIND",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS96940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrida Klausa, NP
• William Berner Klaustermeyer, MD
• Valerie Sharon Klayman, M.A., LMFT
• Shauday Klaz
• Kle Inc. (KG Pharmacy)
• Doreen R. Klee, LCSW
• Eric Christopher Kleerup, MD
• Angela Kathleen Kleiber, M.D., RD, CNSD
• Isabelle Marie Kleier, MD
• Boriana G Kleiler, AMFT

• 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 22, 2020; 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.