Individual provider Active NPI

Judith A. Wiener, L.C.S.W., L.M.F.T.

  • Clinical Social Worker
  • Agoura Hills, CA
National Provider Identifier
1861508707
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 8534 Issued in CA
Practice address
30497 Canwood St
Suite 103
Agoura Hills, CA 91301-4330
Phone
(818) 706-0140
Fax
(818) 706-9070
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 8534 CA Primary
Marriage & Family Therapist 106H00000X MFC 15723 CA

Addresses

Primary practice location

30497 Canwood St
Suite 103
Agoura Hills, CA 91301-4330

Mailing address

74 Smoke Tree Ave
Oak Park, CA 91377-1135
Phone (818) 515-0481

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
LCS 8534CAMDClinical Social Worker
MFC 15723CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda Hauser LCSW, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1861508707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SMOKE TREE AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771135",
            "telephone_number": "818-515-0481",
            "fax_number": "818-706-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30497 CANWOOD ST",
            "address_2": "SUITE 103",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014330",
            "telephone_number": "818-706-0140",
            "fax_number": "818-706-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "L.C.S.W., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 8534",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 15723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.