Individual provider Active NPI

Elizabeth Wieland, ACSW 72261

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1942652805
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1125 W 6TH St Ste 103
Los Angeles, CA 90017-1896
Phone
(213) 202-3970
NPI assigned
Jul 4, 2016
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1125 W 6TH St Ste 103
Los Angeles, CA 90017-1896

Mailing address

4163 Via Marina Apt 209
Marina del Rey, CA 90292-5328
Phone (224) 392-4087

Other practice location 1

1630 N Fuller Ave
Apt. 2
Los Angeles, CA 90046-3560
Phone (224) 392-4087

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

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1942652805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 VIA MARINA APT 209",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925328",
            "telephone_number": "224-392-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W 6TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171896",
            "telephone_number": "213-202-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 N Fuller Ave",
            "address_2": "Apt. 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900463560",
            "country_code": "US",
            "telephone_number": "224-392-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "ELIZABETH",
        "credential": "ACSW 72261",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Oct 14, 2019; 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.