Individual provider Active NPI

Sakeena Mirza, LCSW

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1407257652
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
23717 Hawthorne Blvd Ste 205
Torrance, CA 90505-5982
Phone
(424) 216-6110
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

23717 Hawthorne Blvd Ste 205
Torrance, CA 90505-5982

Mailing address

23717 Hawthorne Blvd Ste 205
Torrance, CA 90505-5982
Phone (424) 216-6110

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
I20191219000152 CA Practitioner - Clinical Social Worker 8921432204 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2780 Skypark Dr
Suite 205
Torrance, CA 90505-5343
Phone (424) 242-3018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sakeena Mirza, Licensed Clinical Social Worker, a Professional Corpora Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

23717 Hawthorne Blvd
Ste 205
Torrance, CA 90505
Phone (424) 216-6110

2790 Skypark Dr
Ste 118
Torrance, CA 90505

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1407257652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23717 HAWTHORNE BLVD STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055982",
            "telephone_number": "424-216-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23717 HAWTHORNE BLVD STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055982",
            "telephone_number": "424-216-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SAKEENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.