Organization Active NPI

Lovethreads

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1871038224
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28252 Issued in CA
Legal business name
LOVETHREADS
Practice address
12204 S San Pedro St
Los Angeles, CA 90061-2848
Phone
(310) 701-1472
Fax
(310) 632-8265
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Ms. Paulette J Holt, LCSW
Title
Psychotherapist
Phone
(310) 632-8265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28252 CA Primary

Addresses

Primary practice location

12204 S San Pedro St
Los Angeles, CA 90061-2848

Mailing address

PO Box 5102
Carson, CA 90749-5102
Phone (310) 701-1472

National Provider Directory

National Provider Directory

Locations

12204 S San Pedro St
Los Angeles, CA 90061
Phone (310) 701-1472

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1871038224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907495102",
            "telephone_number": "310-701-1472",
            "fax_number": "310-632-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612848",
            "telephone_number": "310-701-1472",
            "fax_number": "310-632-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVETHREADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "310-632-8265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28252",
            "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 Dec 21, 2016; 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.