Jacob Wangel-Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW87679 Issued in CA

Practice address

1910 W Sunset Blvd Ste 460
Los Angeles, CA 90026-3262

Phone

(917) 310-4752

NPI assigned

Jun 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1861753857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 W SUNSET BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263262",
            "telephone_number": "917-310-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W SUNSET BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263262",
            "telephone_number": "917-310-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGEL-BROWN",
        "first_name": "JACOB",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW87679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yue Wang
• Yujue Wang
• Yulai Wang, M.D.
• Yuli Wang, PA-C
• Yuwei Wang
• Sonya Wangpuchakane, L.M.F.T.
• Kelsey Wanhainen, MD, PHD
• Lopa Malkan Wani, M.S.
• Samantha N Wanis
• Erin Ashley Wann, RN

• 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 Jul 25, 2022; 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.