Organization Active NPI

Jennifer Brady Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1891504874
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER BRADY LICENSED CLINICAL SOCIAL WORKER PC
Practice address
2660 Townsgate Rd Ste 520
Westlake Village, CA 91361-5712
Phone
(310) 907-6580
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Jennifer Brady, LCSWNPI 1831405356
Title
Owner
Phone
(310) 907-6580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2660 Townsgate Rd Ste 520
Westlake Village, CA 91361-5712

Mailing address

490 Novara Way
Oak Park, CA 91377-5556
Phone (310) 907-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225002591 CA Part B Supplier - Clinic/Group Practice 3870013576 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

2660 Townsgate Rd
Ste 530
Westlake Village, CA 91361
Phone (310) 796-7802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1891504874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NOVARA WAY",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775556",
            "telephone_number": "310-907-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 520",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615712",
            "telephone_number": "310-907-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BRADY LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-907-6580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.