Individual provider Active NPI

Libby Coufal

  • Clinical Social Worker
  • Newbury Park, CA
National Provider Identifier
1083437404
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130337 Issued in CA
Practice address
107 N Reino Rd # 1037
Newbury Park, CA 91320-3710
Phone
(805) 590-7982
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 130337 CA Primary

Addresses

Primary practice location

107 N Reino Rd # 1037
Newbury Park, CA 91320-3710

Mailing address

7084 Bergamot Ave
Moorpark, CA 93021-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 3, 2025 through Jun 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130337CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Lieberman, LMFT, Inc CurrentSince Nov 10, 2024 Accepting new patients

Locations

107 N Reino Rd
Thousand Oaks, CA 91320
Phone (805) 590-7982

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1083437404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 BERGAMOT AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N REINO RD # 1037",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-590-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUFAL",
        "first_name": "LIBBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.