Ajila Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW71802 Issued in CA

Practice address

11100 Sepulveda Blvd
# 8-291
Mission Hills, CA 91345-1131

Phone

(747) 253-1560

Fax

(516) 714-9820

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009

  CA

  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1508218280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD # 8-291",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451131",
            "telephone_number": "747-253-1560",
            "fax_number": "516-714-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD",
            "address_2": "# 8-291",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451131",
            "telephone_number": "747-253-1560",
            "fax_number": "516-714-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AJILA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy A Hakim, MD
• Nicholas Jesse Hamm, MSW
• David E Hanpeter, MD
• Harbor Care Foundation, Inc.
• Harmony MSW Inc
• Lele C Harris, M.D.
• Marissa Rose Harris, MS ATC
• Hasan and Hosseini DDS Corporation
• Ladan Hassanzadeh-Khayyat
• Bradley David Hatfield, M.D.

• All providers in Mission Hills, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.