Ellen R. Kimmel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11387 Issued in CA

Practice address

578 Washington Blvd # 815
Marina del Rey, CA 90292-5442

Phone

(323) 447-8372

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Daz & Associates Inc

  dba DAZ Foundation

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1235435520
  Authorized official Same address or phone
• Daz Foundation

  • Clinical Social Worker
  • Marina del Rey, CA
  • NPI 1225339872
  Authorized official Same address or phone
• Ellen Kimmel Licensed Clinical Social Worker Incorporated

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1497133268
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1972635779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVS. #815",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "323-447-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD # 815",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925442",
            "telephone_number": "323-447-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ELLEN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kianusch Kiai Inc
• Anthony Seongil Kim
• James J Kim, PHARMD
• Siwon Kim, PHARMD
• Kimberly Tangen PHD, Licensed Psychologist, Inc.
• Britta King
• Edward King, MD
• Kinnected
• Katy Kleinberg, DPT, PT
• Cergei Walter Klishevich, D.C.

• Clinical Social Worker in Marina del Rey, CA
• Providers in Marina del Rey, 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 Nov 1, 2012; 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.