Sujin Jeon Licensed Clinical Social Worker, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUJIN JEON LICENSED CLINICAL SOCIAL WORKER, INC

Practice address

115 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3896

Phone

(602) 448-0578

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Sujin JeonNPI 1265867832

Title

Therapist

Phone

(602) 448-0578

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sujin Jeon

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1265867832
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1962232843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S PLYMOUTH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196806",
            "telephone_number": "602-448-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043896",
            "telephone_number": "602-448-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJIN JEON LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "SUJIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "602-448-0578"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Il Suh
• Young Seok Suh, M.D.
• Didik Suhardjo, D.D.S.
• Claire Suisman, MA, APCC
• William G Sujan, BS, MS, MBA
• Suk B Hong Chiropractic Inc
• Kwang Soo Suk, LAC
• Sojung Suk, DNP
• Maria Sukamto, PHARMACIST
• Mutiara Swissha Sukantri

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.