Lacuna Healing Therapy PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LACUNA HEALING THERAPY PC

Practice address

3375 Montagne Way
Thousand Oaks, CA 91362

Phone

(310) 924-1208

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Samantha Romero, LCSWNPI 1962896498

Title

Ceo/Founder

Phone

(310) 924-1208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Romero, LCSW, CADC-III

  • Clinical Social Worker
  • Thousand Oaks, CA
  • NPI 1962896498
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1336913615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E IDAHO ST # 203",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014137",
            "telephone_number": "310-924-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MONTAGNE WAY",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "310-924-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACUNA HEALING THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "310-924-1208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Nov 8, 2023; 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.