Simon Therapy California a Licesnsed Clinical Social Worker Professional Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIMON THERAPY CALIFORNIA A LICESNSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION

Practice address

4272 Stalwart Dr
Rancho Palos Verdes, CA 90275-6025

Phone

(310) 972-0502

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Jan Simon, LCSWNPI 1770810475

Title

Principal

Phone

(310) 972-0502

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.

• Jan Feingold Simon, LCSW

  • Clinical Social Worker
  • Rancho Palos Verdes, CA
  • NPI 1770810475
  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1982417499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4272 STALWART DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756025",
            "telephone_number": "310-972-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 STALWART DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756025",
            "telephone_number": "310-972-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON THERAPY CALIFORNIA A LICESNSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "310-972-0502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, 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 Mar 25, 2025; 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.