Individual provider Active NPI

Roxanna Yashouafar Aboudi, LCSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1801100755
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW# 64161 Issued in CA
Practice address
16661 Ventura Blvd
#444
Encino, CA 91436-1914
Phone
(310) 384-5527
NPI assigned
Aug 3, 2010
Last updated
Apr 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW30609 CA
Clinical Social Worker 1041C0700X LCSW# 64161 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
#444
Encino, CA 91436-1914

Mailing address

16661 Ventura Blvd
#444
Encino, CA 91436-1914
Phone (310) 384-5527

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW30609CAMDMental Health Counselor
LCSW# 64161CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Roxanna, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1801100755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "#444",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-384-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "#444",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-384-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUDI",
        "first_name": "ROXANNA",
        "middle_name": "YASHOUAFAR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW30609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW# 64161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.