Basic Information
| Provider Information | |||||||||
| NPI: | 1528110624 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHREIBFEDER | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | LITTLETON | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 SOUTH VERMONT AVE. 10TH FLOOR | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900201912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2139961343 | ||||||||
| FaxNumber: | 2139961350 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 S VERMONT AVE FL 10 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900201912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2139961343 | ||||||||
| FaxNumber: | 2139961350 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 03/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 25477 | CA | N | Behavioral Health & Social Service Providers | Social Worker | 104100000X | LCS 25477 | CA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 25477 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.