Laila Fakri

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023718 Issued in PA

Practice address

1833 S 6TH St
Philadelphia, PA 19148-1732

Phone

(202) 670-4057

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Portal Psychotherapy, LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1255200051
  NPD Authorized official

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1497356265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481732",
            "telephone_number": "202-670-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481732",
            "telephone_number": "202-670-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKRI",
        "first_name": "LAILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26253",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Optimal Care LLC
• Faithful Physical Therapy Concepts LLC
• Roneth Fajardo, R.P.T.
• Steven Fakharzadeh, MD
• Michael S Fakhraee, MD
• Noelle Fala, CRNP
• Katherine Falbo
• Falcon Medical Co LLC
• Dana Josephine Falcone, LCGC
• Kathryn Jean Falcone, PHDHP

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.