Active NPI
Maria Elena Medrano, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1851497671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS23352
- Practice address
- 5321 Via Marisol
Los Angeles, CA 90042-4883 - Phone
- (323) 478-8200
- Fax
- (323) 344-8829
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS23352 | CA | Primary |
Addresses
Primary practice location
5321 Via Marisol
Los Angeles, CA 90042-4883
Mailing address
5321 Via Marisol
Los Angeles, CA 90042-4883
Phone (323) 478-8200
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS23352 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851497671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 VIA MARISOL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424883",
"telephone_number": "323-478-8200",
"fax_number": "323-344-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 VIA MARISOL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424883",
"telephone_number": "323-478-8200",
"fax_number": "323-344-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "MARIA",
"middle_name": "ELENA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS23352",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.