Individual provider Active NPI

Jacque Louise Sierad, L.C.S.W.

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1891916979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23008 Issued in CA
Practice address
23123 Ventura Blvd
Ste. 203
Woodland Hills, CA 91364-1104
Phone
(818) 224-2248
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS23008 CA Primary

Addresses

Primary practice location

23123 Ventura Blvd
Ste. 203
Woodland Hills, CA 91364-1104

Mailing address

23368 Ostronic Dr
Woodland Hills, CA 91367-6045
Phone (818) 224-4116

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS23008CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891916979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23368 OSTRONIC DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676045",
            "telephone_number": "818-224-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "STE. 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641104",
            "telephone_number": "818-224-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERAD",
        "first_name": "JACQUE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.