Individual provider Active NPI

Marilyn Abdelsayed, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1972884625
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79583 Issued in CA
Practice address
100 W 1St St FL 6
Los Angeles, CA 90012-4112
Phone
(213) 996-1347
NPI assigned
Sep 7, 2011
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 79583 CA Primary

Addresses

Primary practice location

100 W 1St St FL 6
Los Angeles, CA 90012-4112

Mailing address

9419 Buell St
Downey, CA 90241-2904
Phone (562) 774-5340

Other practice location 1

1200 N Main St
Suite 300
Santa Ana, CA 92701-3640
Phone (714) 480-4678

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
79583CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1972884625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 BUELL ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412904",
            "telephone_number": "562-774-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 1ST ST FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124112",
            "telephone_number": "213-996-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Main St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013640",
            "country_code": "US",
            "telephone_number": "714-480-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELSAYED",
        "first_name": "MARILYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79583",
            "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 May 25, 2022; 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.