Linda Frances Lara, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW100238 Issued in CA

Practice address

5500 Bolsa Ave Ste 105
Huntington Beach, CA 92649-1198

Phone

(714) 485-3496

NPI assigned

Apr 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Menda Behavioral Health Services of California, PCGroup PAC ID 6709251192, 5 clinicians

Practice addresses (Care Compare)

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.

• Menda Behavioral Health Services of California, PC

  • Psychologist
  • San Francisco, CA
  • NPI 1962108779
  Medicare reassignment Care Compare group NPD
• Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation

  • Marriage & Family Therapist
  • San Leandro, CA
  • NPI 1194205799
  NPD (past)

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1558758995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16458 BOLSA CHICA ST # 292",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BOLSA AVE STE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491198",
            "telephone_number": "714-485-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "LINDA",
        "middle_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100238",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW62521",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW62521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Langan
• Kimberly Lank, D.O.
• Dahlia Lara-Galvan
• Anay Lara
• Honel Lara
• Marcos Lara
• Michael Lara
• Kylie Larsen
• Madelyn Larson
• Diana M Larusso, LMFT

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.

Verify at the official NPI Registry.