Active NPI
Live Abundantly Therapy
- Clinical Social Worker
- Valencia, CA
National Provider Identifier
1992482368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIVE ABUNDANTLY THERAPY
- Practice address
- 25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257 - Phone
- (213) 207-6561
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erik Sherman, LCSW
- Title
- Founder, Ceo
- Phone
- (860) 617-2210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257
Mailing address
3312 Isabel Dr
Los Angeles, CA 90065-1958
Phone (860) 617-2210
Other practice location 1
3312 Isabel Dr
Los Angeles, CA 90065-1958
Phone (860) 617-2210
Other practice location 2
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone (818) 686-3081
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Valencia, CA
- NPI 1679853774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1992482368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 ISABEL DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900651958",
"telephone_number": "860-617-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 AVENUE KEARNY STE 203",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551257",
"telephone_number": "213-207-6561"
}
],
"practiceLocations": [
{
"address_1": "3312 Isabel Dr",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900651958",
"country_code": "US",
"telephone_number": "860-617-2210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11600 Eldridge Ave",
"address_purpose": "LOCATION",
"city": "Lake View Terrace",
"state": "CA",
"postal_code": "913426506",
"country_code": "US",
"telephone_number": "818-686-3081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIVE ABUNDANTLY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "FOUNDER, CEO",
"authorized_official_telephone_number": "860-617-2210",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.