Dana Mohammed Taha, LCSW 104619

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104619 Issued in CA

Practice address

12400 Ventura Blvd Ste 1333
Studio City, CA 91604-2406

Phone

(323) 537-9907

NPI assigned

Sep 5, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1689192122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 VENTURA BLVD STE 1333",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042406",
            "telephone_number": "323-537-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 VENTURA BLVD STE 1333",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042406",
            "telephone_number": "323-537-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "DANA",
        "middle_name": "MOHAMMED",
        "credential": "LCSW 104619",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Studio City Surgical Center
• Studio City Urgent Care and Medical Center
• Tyesha Lashon Sullivan, BSN, RN
• Sally L. Swann, L.C.S.W.
• Violet Szabo
• Sogol Taherinejad
• Anahita Tajbakhsh, D.D.S.
• Abeera Tareen, LMFT
• Jeremy Stephen Thacker
• Camtien Thai

• Clinical Social Worker in Studio City, CA
• Providers in Studio City, 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 May 19, 2023; 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.