Individual provider Active NPI

Brittani Simberg, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1891074928
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76334 Issued in CA
Practice address
3435 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-3314
Phone
(310) 392-9474
Fax
(310) 392-7341
NPI assigned
Aug 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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 76334 CA Primary

Addresses

Primary practice location

3435 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-3314

Mailing address

1328 2ND St
Santa Monica, CA 90401-1122
Phone (310) 394-6889

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

NPI Registry JSON

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1891074928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 2ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011122",
            "telephone_number": "310-394-6889",
            "fax_number": "310-576-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 OCEAN PARK BLVD STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053314",
            "telephone_number": "310-392-9474",
            "fax_number": "310-392-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMBERG",
        "first_name": "BRITTANI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.