Active NPI
Nancy Raquel Ludwig
- Marriage & Family Therapist
- Woodland Hills, CA
National Provider Identifier
1992203228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134273
- Practice address
- 21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252 - Phone
- (818) 378-5805
- NPI assigned
- Feb 1, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 83818 | CA | |
| Marriage & Family Therapist | 106H00000X | 134273 | CA | Primary |
Addresses
Primary practice location
21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252
Mailing address
21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252
Phone (818) 378-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15235 Burbank Blvd
Suite A2
Sherman Oaks, CA 91411-3555
Phone (310) 306-0335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134273 | CA | MD | Marriage & Family Therapist |
| 83818 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Pacific Blue Psychological Services | Current | Accepting new patients |
Locations
3570 E Imperial Hwy
Lynwood, CA 90262
Phone (858) 883-3277
15235 Burbank Blvd
Ste A2
Van Nuys, CA 91411
Phone (949) 504-1963
Interoperability endpoints
- nancyludwig-tarzanatreatmentcenter@lacsapc.netsmartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Sherman Oaks, CA
- NPI 1124678719
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1992203228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21869 WOODLAND CREST DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913645252",
"telephone_number": "818-378-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21869 WOODLAND CREST DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913645252",
"telephone_number": "818-378-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "NANCY",
"middle_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "83818",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.