Individual provider Active NPI

Elizabeth Laura Hortua, LCSW

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1942426887
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22145 Issued in CA
Practice address
5655 Lindero Canyon Rd
Suite 724
Westlake Village, CA 91362-4016
Phone
(310) 694-7724
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015593 PA
Clinical Social Worker 1041C0700X 22145 CA Primary

Addresses

Primary practice location

5655 Lindero Canyon Rd
Suite 724
Westlake Village, CA 91362-4016

Mailing address

4322 Beaucroft CT
Westlake Village, CA 91361-4138
Phone (310) 694-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 2, 2023 through Nov 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22145CAMDClinical Social Worker
CW015593PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1942426887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 BEAUCROFT CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614138",
            "telephone_number": "310-694-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD",
            "address_2": "SUITE 724",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624016",
            "telephone_number": "310-694-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTUA",
        "first_name": "ELIZABETH",
        "middle_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.