Individual provider Active NPI

Carly Nahin, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1063978658
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128719 Issued in CA
Practice address
13738 Burbank Blvd Apt 1
Sherman Oaks, CA 91401-5043
Phone
(818) 394-0943
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 128719 CA Primary

Addresses

Primary practice location

13738 Burbank Blvd Apt 1
Sherman Oaks, CA 91401-5043

Mailing address

13738 Burbank Blvd Apt 1
Sherman Oaks, CA 91401-5043
Phone (818) 394-0943

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

LicenseStateTypeSpecialty
128719CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Brooke Therapy Clinical CurrentSince Nov 9, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1063978658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13738 BURBANK BLVD APT 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015043",
            "telephone_number": "818-394-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13738 BURBANK BLVD APT 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015043",
            "telephone_number": "818-394-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHIN",
        "first_name": "CARLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.