Individual provider Active NPI

Douglas Pleiman

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1922545326
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107943 Issued in CA
Practice address
23161 Mill Creek Dr Ste 315
Laguna Hills, CA 92653-7907
Phone
(949) 415-4204
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 107943 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X LR05621120 CA

Addresses

Primary practice location

23161 Mill Creek Dr Ste 315
Laguna Hills, CA 92653-7907

Mailing address

PO Box 1446
Lake Forest, CA 92609-1446
Phone (949) 415-4204

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
LR05621120CAMDAddiction (Substance Use Disorder) Counselor
107943CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Repair Therapy Services Licensed Clinical Social Worker Inc Clinical CurrentSince Mar 3, 2024 Accepting new patients

Locations

23161 Mill Creek Dr
Ste 315
Laguna Hills, CA 92653
Phone (818) 445-0952

Organizations & group practices 1

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1922545326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926091446",
            "telephone_number": "949-415-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 MILL CREEK DR STE 315",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537907",
            "telephone_number": "949-415-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEIMAN",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107943",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR05621120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.