Active NPI
Mark Matthew Befort, L.C.S.W.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1932297280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 20807
- Practice address
- 4701 E Cesar E Chavez Ave
Roybal Mental Health--Second Floor
Los Angeles, CA 90022-1209 - Phone
- (323) 267-3400
- Fax
- (323) 260-5201
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | LCS 20807 | CA | Primary |
Addresses
Primary practice location
4701 E Cesar E Chavez Ave
Roybal Mental Health--Second Floor
Los Angeles, CA 90022-1209
Mailing address
4701 E Cesar E Chavez Ave
Roybal Mental Health--Second Floor
Los Angeles, CA 90022-1209
Phone (323) 267-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011870 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20807 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932297280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 E CESAR E CHAVEZ AVE",
"address_2": "ROYBAL MENTAL HEALTH--SECOND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221209",
"telephone_number": "323-267-3400",
"fax_number": "323-260-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 E CESAR E CHAVEZ AVE",
"address_2": "ROYBAL MENTAL HEALTH--SECOND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221209",
"telephone_number": "323-267-3400",
"fax_number": "323-260-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEFORT",
"first_name": "MARK",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.