Individual provider Active NPI

Lala Tagiyeva, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1659440048
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 24192 Issued in CA
Practice address
23123 Ventura Blvd
Suite 207
Woodland Hills, CA 91364-1104
Phone
(818) 835-3511
Fax
(413) 487-1617
NPI assigned
Nov 7, 2006
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 24192 CA Primary

Addresses

Primary practice location

23123 Ventura Blvd
Suite 207
Woodland Hills, CA 91364-1104

Mailing address

23123 Ventura Blvd
Suite 207
Woodland Hills, CA 91364-1104
Phone (818) 835-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 24192CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1659440048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "SUITE 207",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641104",
            "telephone_number": "818-835-3511",
            "fax_number": "413-487-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "SUITE 207",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641104",
            "telephone_number": "818-835-3511",
            "fax_number": "413-487-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGIYEVA",
        "first_name": "LALA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.