Active NPI
Shirley Mona Kahenzadeh, M.S.W., L.C.S.W.
- Clinical Social Worker
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS23427
- Practice address
- 9300 Wilshire Blvd
Suite 320
Beverly Hills, CA 90212-3213 - Phone
- (310) 285-9300
- Fax
- (310) 285-9300
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS23427 | CA | Primary |
Addresses
Primary practice location
9300 Wilshire Blvd
Suite 320
Beverly Hills, CA 90212-3213
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 285-9300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11303 W Washington Blvd
Suite 100
Los Angeles, CA 90066-6003
Phone (310) 391-7281
1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.46 of 100
- Quality
- 80.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23427 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current | Accepting new patients | |
| Regents of the University of California Los Angeles | Current | Accepting new patients |
Locations
300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 319-5098
2001 Santa Monica Blvd
Ste 860W
Santa Monica, CA 90404
Phone (310) 586-9097
Organizations & group practices 2
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.
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- Neurology Physician
- Los Angeles, CA
- NPI 1609194497
-
- Adult Development & Aging Psychologist
- Los Angeles, CA
- NPI 1750368999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1386843035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-285-9300",
"fax_number": "310-285-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 WILSHIRE BLVD",
"address_2": "SUITE 320",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123213",
"telephone_number": "310-285-9300",
"fax_number": "310-285-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHENZADEH",
"first_name": "SHIRLEY",
"middle_name": "MONA",
"name_prefix": "Ms.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS23427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.