Individual provider Active NPI

Lilla Akhtar Hashemi, PH.D.

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1790718211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS7463 Issued in CA
Practice address
21143 San Miguel St
Woodland Hills, CA 91364-3347
Phone
(818) 715-9960
Fax
(818) 715-9960
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS7463 CA Primary

Addresses

Primary practice location

21143 San Miguel St
Woodland Hills, CA 91364-3347

Mailing address

21143 San Miguel St
Woodland Hills, CA 91364-3347
Phone (818) 715-9960

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
I20100917000697 CA Practitioner - Clinical Social Worker 4183749849 Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21143 San Miguel St
Woodland Hills, CA 91364-3347
Phone (818) 715-9960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS7463CAMDClinical Social Worker
7463CAMDPulmonary Rehabilitation Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790718211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21143 SAN MIGUEL ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643347",
            "telephone_number": "818-715-9960",
            "fax_number": "818-715-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21143 SAN MIGUEL ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643347",
            "telephone_number": "818-715-9960",
            "fax_number": "818-715-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMI",
        "first_name": "LILLA",
        "middle_name": "AKHTAR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.