Active NPI
Lara Duran, LCSW
- Clinical Social Worker
- Palmdale, CA
National Provider Identifier
1730372152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60642
- Practice address
- 39959 Sierra Hwy
Suite 150a
Palmdale, CA 93550-3313 - Phone
- (661) 223-5409
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60642 | CA | Primary |
Addresses
Primary practice location
39959 Sierra Hwy
Suite 150a
Palmdale, CA 93550-3313
Mailing address
39959 Sierra Hwy
Suite 150a
Palmdale, CA 93550-3313
Phone (661) 223-5409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60642 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1730372152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39959 SIERRA HWY",
"address_2": "SUITE 150A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935503313",
"telephone_number": "661-223-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39959 SIERRA HWY",
"address_2": "SUITE 150A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935503313",
"telephone_number": "661-223-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "LARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "60642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.