Individual provider Active NPI

Deborah Jane Galligani, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1902927536
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23842 Issued in CA
Practice address
11850 Wilshire Blvd Ste 201
Los Angeles, CA 90025-6629
Phone
(310) 993-6303
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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 LCS 23842 CA Primary

Addresses

Primary practice location

11850 Wilshire Blvd Ste 201
Los Angeles, CA 90025-6629

Mailing address

PO Box 64903
Los Angeles, CA 90064-0903
Phone (310) 993-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091204000200 CA Practitioner - Clinical Social Worker 1456490440 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12340 Santa Monica Blvd
Suite 307
Los Angeles, CA 90025-0348
Phone (310) 993-6303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 23842CAMDClinical Social Worker
23842CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
W.I.S.E. Group Clinical Current Accepting new patients
Citihealth Services Inc PastSince Aug 2, 2020 Accepting new patients

Locations

12340 Santa Monica Blvd
Ste 307
Los Angeles, CA 90025
Phone (310) 993-6303

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1902927536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64903",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640903",
            "telephone_number": "310-993-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256629",
            "telephone_number": "310-993-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIGANI",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.