Active NPI
Darls Centola, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1861551053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21401
- Practice address
- 12240 Venice Blvd Ste 15a
Los Angeles, CA 90066-3891 - Phone
- (310) 738-3609
- NPI assigned
- Dec 6, 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 | 21401 | CA | Primary |
Addresses
Primary practice location
12240 Venice Blvd Ste 15a
Los Angeles, CA 90066-3891
Mailing address
12240 Venice Blvd Ste 15a
Los Angeles, CA 90066-3891
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 |
|---|---|---|---|
| 21401 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1861551053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12240 VENICE BLVD STE 15A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12240 VENICE BLVD STE 15A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663891",
"telephone_number": "310-738-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTOLA",
"first_name": "DARLS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
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- Central City Community Health Center, Inc.
- Central City Community Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.