Individual provider Active NPI

Nasha Katrack, LCSW

  • Clinical Social Worker
  • Valencia, CA
National Provider Identifier
1164096061
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101488 Issued in CA
Practice address
23734 Valencia Blvd Ste 304
Valencia, CA 91355-5369
Phone
(234) 281-2154
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 101488 CA Primary

Addresses

Primary practice location

23734 Valencia Blvd Ste 304
Valencia, CA 91355-5369

Mailing address

PO Box 2
Woodland Hills, CA 91365-0002
Phone (661) 644-9245

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nasha@ufyemi.org

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
101488CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1164096061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650002",
            "telephone_number": "661-644-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23734 VALENCIA BLVD STE 304",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555369",
            "telephone_number": "234-281-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRACK",
        "first_name": "NASHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-07-06",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nasha@ufyemi.org",
            "affiliation": "N",
            "address_1": "23734 Valencia Blvd Ste 304",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913555369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 6, 2021; 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.