Individual provider Active NPI

Patricia Ann Franzblau, L.C.S.W.

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1902947104
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 19623 Issued in CA
Practice address
9541 Grossmont Summit Dr
La Mesa, CA 91941-4105
Phone
(805) 522-5020
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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 19623 CA Primary

Addresses

Primary practice location

9541 Grossmont Summit Dr
La Mesa, CA 91941-4105

Mailing address

9519 Milden St
La Mesa, CA 91942-4116
Phone (805) 522-5020

Other practice location 1

4700 Spring St Ste 204
LA Mesa, CA 91942-0273
Phone (805) 522-5020

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
I20140829001782 CA Practitioner - Clinical Social Worker 0143448324 Practice locations: La Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4700 Spring St
Suite 204
La Mesa, CA 91942-0273
Phone (805) 522-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 19623CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1902947104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 MILDEN ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424116",
            "telephone_number": "805-522-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 GROSSMONT SUMMIT DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414105",
            "telephone_number": "805-522-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Spring St Ste 204",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919420273",
            "country_code": "US",
            "telephone_number": "805-522-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANZBLAU",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 19623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.