Individual provider Active NPI

Lauren Kristina Mahakian, LCSW

  • Clinical Social Worker
  • Fair Oaks, CA
National Provider Identifier
1306218862
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82146 Issued in CA
Practice address
4125 Temescal Street
Suite a
Fair Oaks, CA 95628-9562
Phone
(916) 877-6894
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 LCSW82146 CA Primary

Addresses

Primary practice location

4125 Temescal Street
Suite a
Fair Oaks, CA 95628-9562

Mailing address

4005 Manzanita Avenue
Suite 6, #434
Carmichael, CA 95608-1770
Phone (916) 877-6894

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
I20190227001769 CA Practitioner - Clinical Social Worker 8921347493 Reassigns benefits to 2 organizations
Practice locations: Fair Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8005 Sacramento St
Fair Oaks, CA 95628-7583
Phone (916) 877-6894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82146CAMDClinical Social Worker
82146CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Soul Counseling a Licensed Clinical Social Worker PC Clinical CurrentSince Apr 12, 2023 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Jan 22, 2019 Accepting new patients
Regents of the University of California CurrentSince Jan 22, 2019 Accepting new patients
Regents of the Univ of Ca PastSince Jan 22, 2019 Accepting new patients

Locations

4005 Manzanita Ave
Ste 6
Carmichael, CA 95608
Phone (916) 245-6464

4125 Temescal St
Ste A
Fair Oaks, CA 95628
Phone (916) 877-6894

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

Organizations & group practices 5

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1306218862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MANZANITA AVENUE",
            "address_2": "SUITE 6, #434",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081770",
            "telephone_number": "916-877-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 TEMESCAL STREET",
            "address_2": "SUITE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956289562",
            "telephone_number": "916-877-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAKIAN",
        "first_name": "LAUREN",
        "middle_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.