Individual provider Active NPI

Sheron Porat, MSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1659959179
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129381 Issued in CA
Practice address
17777 Ventura Blvd Ste 105
Encino, CA 91316-3738
Phone
(213) 908-1234
Fax
(213) 908-1233
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW100562 CA
Clinical Social Worker 1041C0700X 129381 CA Primary

Addresses

Primary practice location

17777 Ventura Blvd Ste 105
Encino, CA 91316-3738

Mailing address

17777 Ventura Blvd Ste 105
Encino, CA 91316-3738
Phone (323) 818-3335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250616000501 CA Practitioner - Clinical Social Worker 6002327285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW100562CAMDClinical Social Worker
129381CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Direction for Wellness Center CurrentSince Apr 1, 2021 Accepting new patients
Change Within Reach Inc Clinical CurrentSince May 30, 2025 Accepting new patients

Locations

17777 Ventura Blvd
Ste 105
Encino, CA 91316
Phone (213) 445-2266

5855 Topanga Canyon Blvd
Ste 510
Woodland Hills, CA 91367
Phone (818) 699-2580

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1659959179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 105",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163738",
            "telephone_number": "323-818-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 105",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163738",
            "telephone_number": "213-908-1234",
            "fax_number": "213-908-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAT",
        "first_name": "SHERON",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW100562",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.