Individual provider Active NPI

Eliane Oliveira Spagnoletto, M.S.W., A.C.S.W.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1942635552
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99550 Issued in CA
Practice address
1060 S Sherbourne Dr Apt 308
Los Angeles, CA 90035-2145
Phone
(805) 410-3181
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 99550 CA Primary

Addresses

Primary practice location

1060 S Sherbourne Dr Apt 308
Los Angeles, CA 90035-2145

Mailing address

1060 S Sherbourne Dr Apt 308
Los Angeles, CA 90035-2145
Phone (805) 410-3181

Other practice location 1

4929 Wilshire Blvd Ste 245
Los Angeles, CA 90010-3859
Phone (323) 743-1122

Other practice location 2

6957 N Figueroa St
Los Angeles, CA 90042-1245
Phone (323) 443-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2021 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99550CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Muhlheim Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1942635552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S SHERBOURNE DR APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352145",
            "telephone_number": "805-410-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S SHERBOURNE DR APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352145",
            "telephone_number": "805-410-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 Wilshire Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103859",
            "country_code": "US",
            "telephone_number": "323-743-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6957 N Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900421245",
            "country_code": "US",
            "telephone_number": "323-443-3153",
            "fax_number": "323-344-7382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNOLETTO",
        "first_name": "ELIANE",
        "middle_name": "OLIVEIRA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.