Active NPI
Valerie Coukoulis
- Clinical Social Worker
- Redondo Beach, CA
National Provider Identifier
1982157483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW71943
- Practice address
- 231 N Irena Ave # a
Redondo Beach, CA 90277-3244 - Phone
- (509) 432-1937
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW71943 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LW60616338 | WA |
Addresses
Primary practice location
231 N Irena Ave # a
Redondo Beach, CA 90277-3244
Mailing address
231 N Irena Ave # a
Redondo Beach, CA 90277-3244
Phone (509) 432-1937
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW71943 | CA | MD | Clinical Social Worker |
| LW60616338 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1982157483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 N IRENA AVE # A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773244",
"telephone_number": "509-432-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N IRENA AVE # A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773244",
"telephone_number": "509-432-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUKOULIS",
"first_name": "VALERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW71943",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60616338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.