Skylar Mamie Lenox Ibarra, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68275 Issued in CA

Practice address

4325 W Sunset Blvd Ste 206
Los Angeles, CA 90029-2180

Phone

(310) 388-7983

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lenarra Therapy, a Professional Clinical Social Worker Corporation

  • Clinical Social Worker
  • Brea, CA
  • NPI 1811856933
  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1235693243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 TOPANGA CANYON BLVD # 272",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113602",
            "telephone_number": "818-416-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 W SUNSET BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292180",
            "telephone_number": "310-388-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "SKYLAR",
        "middle_name": "MAMIE LENOX",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra Jasmine Ibarra, CTRS
• Kelly O Ibarra, BA
• Lucas Ibarra
• Olivia Ibarra
• Raul Ibarra
• Vincent Alberto Ibarra
• Xochitl Ibarra, SOCIAL WORKER
• Concepcion Ibarrola
• Caroline Ibekwe, M.A.
• Ojuky E Ibey, PPSC

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.