Individual provider Active NPI

Mark A. Hirshfeld, LCSW

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1225120223
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14788 Issued in CA
Practice address
3585 Maple St
Suite 265
Ventura, CA 93003-3504
Phone
(805) 658-9900
Fax
(805) 658-9900
NPI assigned
Sep 28, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 LCS14788 CA Primary

Addresses

Primary practice location

3585 Maple St
Suite 265
Ventura, CA 93003-3504

Mailing address

PO Box 824
Agoura Hills, CA 91376-0824
Phone (805) 216-2918

Other identifiers 1

IdentifierTypeStateIssuer
353373OtherCAMANAGED HEALTH NETWORK, I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS14788CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1225120223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760824",
            "telephone_number": "805-216-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "SUITE 265",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033504",
            "telephone_number": "805-658-9900",
            "fax_number": "805-658-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHFELD",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK, I",
            "identifier": "353373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.