Individual provider Active NPI

Elena Pushin, LCSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1861677452
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 26217 Issued in CA
Practice address
16200 Ventura Blvd
Suite 403
Encino, CA 91436-2205
Phone
(818) 305-4615
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 26217 CA Primary

Addresses

Primary practice location

16200 Ventura Blvd
Suite 403
Encino, CA 91436-2205

Mailing address

16200 Ventura Blvd
Suite 403
Encino, CA 91436-2205
Phone (818) 305-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 26217CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Pushin LCSW Clinical CurrentSince Aug 8, 2015 Accepting new patients

Locations

15233 Ventura Blvd
Ste 1208
Sherman Oaks, CA 91403
Phone (818) 307-9314

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1861677452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD",
            "address_2": "SUITE 403",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362205",
            "telephone_number": "818-305-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD",
            "address_2": "SUITE 403",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362205",
            "telephone_number": "818-305-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSHIN",
        "first_name": "ELENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 26217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.