Individual provider Active NPI

Jesse Shulamit Lainer-Vos, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1942449236
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27051 Issued in CA
Practice address
6533 Olympic PL
Los Angeles, CA 90035-2526
Phone
(646) 322-2715
NPI assigned
Feb 11, 2009
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 114992 MA
Clinical Social Worker 1041C0700X 27051 CA Primary

Addresses

Primary practice location

6533 Olympic PL
Los Angeles, CA 90035-2526

Mailing address

6533 Olympic PL
Los Angeles, CA 90035-2526
Phone (646) 322-2715

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
27051CAMDClinical Social Worker
114992MAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Western Massachusetts Inc Community/Behavioral Health PastSince May 3, 1999 Accepting new patients
Jewish Family Service of Western Massachusetts Community/Behavioral Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1942449236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 OLYMPIC PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352526",
            "telephone_number": "646-322-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 OLYMPIC PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352526",
            "telephone_number": "646-322-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINER-VOS",
        "first_name": "JESSE",
        "middle_name": "SHULAMIT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "114992",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27051",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 30, 2021; 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.