Individual provider Active NPI

Golnaz Agahi, LCSW

  • Social Worker
  • Orange, CA
National Provider Identifier
1386940203
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22386 Issued in CA
Practice address
4201 W Chapman Ave
Orange, CA 92868-1505
Phone
(714) 748-6210
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22386 CA Primary

Addresses

Primary practice location

4201 W Chapman Ave
Orange, CA 92868-1505

Mailing address

4201 W Chapman Ave
Orange, CA 92868-1505
Phone (714) 748-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22386CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Wellness, Inc. CurrentSince Aug 26, 2024 Accepting new patients

Locations

2043 Westcliff Dr
Ste 201
Newport Beach, CA 92660
Phone (509) 903-5593

Organizations & group practices 1

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1386940203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681505",
            "telephone_number": "714-748-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681505",
            "telephone_number": "714-748-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHI",
        "first_name": "GOLNAZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "22386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.