Individual provider Active NPI

Monica Marie Nevarez, MS, LCSW

  • Clinical Social Worker
  • Calabasas, CA
National Provider Identifier
1114578622
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123944 Issued in CA
Practice address
22231 Mulholland Hwy
Calabasas, CA 91302-5123
Phone
(424) 465-8815
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 123944 CA Primary

Addresses

Primary practice location

22231 Mulholland Hwy
Calabasas, CA 91302-5123

Mailing address

PO Box 8331
Calabasas, CA 91372-8331

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002343 CA Practitioner - Clinical Social Worker 5193250264 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Marriage and Family Therapy Inc CurrentSince Sep 20, 2024 Accepting new patients
Family Therapy for Joyful Eating Inc CurrentSince Sep 20, 2024 Accepting new patients

Locations

22231 Mulholland Hwy
Ste 200
Calabasas, CA 91302
Phone (310) 853-2489

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.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1114578622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8331",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22231 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025123",
            "telephone_number": "424-465-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.