Active NPI
Alexandria Wayne
- Clinical Social Worker
- Encino, CA
National Provider Identifier
1922738137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW88281
- Practice address
- 15720 Ventura Blvd Ste 420
Encino, CA 91436-4711 - Phone
- (818) 927-0478
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW88281 | CA | Primary |
Addresses
Primary practice location
15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Mailing address
15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone (818) 927-0478
Other practice location 1
851 Bowsprit Rd
Chula Vista, CA 91914-4529
Phone (213) 915-8277
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251003000380 | CA | Practitioner - Clinical Social Worker | 6709382211 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15720 Ventura Blvd
Encino, CA 91436-2955
19136 Kinzie St
Northridge, CA 91324-1726
PO Box
Orange, CA 92856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW88281 | CA | MD | Clinical Social Worker |
| 88281 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance and Beyond Licensed Clinical Social Worker Professional Corpor | Clinical | Current | Accepting new patients |
| Hope Opportunity & Mental Empowerment | Current | Accepting new patients |
Locations
15720 Ventura Blvd
Ste 420
Encino, CA 91436
Phone (818) 345-0107
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.
-
- Clinical Social Worker
- Oceanside, CA
- NPI 1316763485
-
- Marriage & Family Therapist
- Encino, CA
- NPI 1245097823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1922738137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15720 VENTURA BLVD STE 420",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364711",
"telephone_number": "818-927-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15720 VENTURA BLVD STE 420",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364711",
"telephone_number": "818-927-0478"
}
],
"practiceLocations": [
{
"address_1": "851 Bowsprit Rd",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919144529",
"country_code": "US",
"telephone_number": "213-915-8277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAYNE",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW88281",
"primary": true
}
],
"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 Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.