Individual provider Active NPI

Coetta Markita Colombel, LCSW, MSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1902456841
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
141446 Issued in CA
Practice address
15720 Ventura Blvd Ste 609
Encino, CA 91436-4733
Phone
(818) 285-8037
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 141446 CA Primary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 107201 CA

Addresses

Primary practice location

15720 Ventura Blvd Ste 609
Encino, CA 91436-4733

Mailing address

8821 Aviation Blvd Unit 88977
Los Angeles, CA 90009-3781
Phone (424) 577-0804

Other practice location 1

24422 Avenida De La Carlota Ste 190
Laguna Hills, CA 92653-3634
Phone (800) 801-9833 ext. 154

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
107201CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902456841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 AVIATION BLVD UNIT 88977",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093781",
            "telephone_number": "424-577-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 609",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364733",
            "telephone_number": "818-285-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24422 Avenida De La Carlota Ste 190",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533634",
            "country_code": "US",
            "telephone_number": "800-801-9833 x154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLOMBEL",
        "first_name": "COETTA",
        "middle_name": "MARKITA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "141446",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.