Individual provider Active NPI

Alla Branzburg, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1932132578
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS21309 Issued in CA
Practice address
21243 Ventura Blvd
Suite 229
Woodland Hills, CA 91364-2109
Phone
(818) 216-5894
Fax
(747) 888-3331
NPI assigned
Jul 8, 2006
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 LCS21309 CA Primary

Addresses

Primary practice location

21243 Ventura Blvd
Suite 229
Woodland Hills, CA 91364-2109

Mailing address

21243 Ventura Blvd
Suite 229
Woodland Hills, CA 91364-2109
Phone (818) 216-5894

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
I20040603001536 CA Practitioner - Clinical Social Worker 6507848439 Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21243 Ventura Blvd
Suite 207
Woodland Hills, CA 91364-2184
Phone (818) 216-5894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS21309CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1932132578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD",
            "address_2": "SUITE 229",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-216-5894",
            "fax_number": "747-888-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD",
            "address_2": "SUITE 229",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-216-5894",
            "fax_number": "747-888-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANZBURG",
        "first_name": "ALLA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.