Coping Cabinet Licensed Clinical Social Worker

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COPING CABINET LICENSED CLINICAL SOCIAL WORKER

Practice address

11340 W Olympic Blvd Ste 335
Los Angeles, CA 90064-1613

Phone

(562) 607-5788

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Keaujahne Polk, LCSWNPI 1376190033

Title

Owner

Phone

(562) 607-5788

Specialties & licenses 2

Addresses

Practitioners 1

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

• Keaujahne Kierra Champane Polk

  • Clinical Social Worker
  • Inglewood, CA
  • NPI 1376190033
  NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1902621642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 CRENSHAW BLVD APT 5",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903034462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "562-607-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPING CABINET LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "KEAUJAHNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-607-5788",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen T Copen, M.D.
• Ronnelle Anani Copes
• Paul Robert Copeskey, D.C., C.C.F.C.
• Margaret Ruth Copi, M.D.
• Lori Ann Copilevitz, O.D.
• Jaime Tai Ming Coplan
• Coppelson Dental Inc
• Kevin Coppelson, D.D.S., M.D.
• Walter Gerard Coppenrath III, MD
• Angelica Noel Coppola, MS

• Adult Mental Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.