Yalda Hasara, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106868 Issued in CA

Practice address

400 W Ventura Blvd Ste 145
Camarillo, CA 93010-9139

Phone

(747) 334-2352

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1578219671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3561",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913590561",
            "telephone_number": "747-334-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W VENTURA BLVD STE 145",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109139",
            "telephone_number": "747-334-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASARA",
        "first_name": "YALDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Harner, OT
• Harris & King Health Services Inc
• Fawn I. Hart, AMFT
• Sarah Ann Harter
• Joshua David Hartman, LCSW, LAADC
• Behnaz Hashemi Nia
• Kooroush Baradaran Hashemi I
• Hashim Mapara MD Inc
• Darrell Andre Hass, L.V.N.
• Anne Stirling Hastings, PHD

• Clinical Social Worker in Camarillo, CA
• Providers in Camarillo, 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 Mar 2, 2022; 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.