Jessica Mohan, LCSW, MAT, PPSC, CWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95086 Issued in CA

Practice address

6432 Penfield Ave
Woodland Hills, CA 91367-2723

Phone

(775) 354-7749

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1821534025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 PENFIELD AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672723",
            "telephone_number": "775-354-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6432 PENFIELD AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672723",
            "telephone_number": "775-354-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "JESSICA",
        "credential": "LCSW, MAT, PPSC, CWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nima Sean Modiri
• Nima Moezzi
• John Millen Moffat, D.D.S.
• Ariel Moghadam, OTR/L
• Ryan Moghadam
• Saman Mohseni, PH.D.
• Jamie Moises, FNP-C
• Kamal Mojab, MD
• Sheila Mojtabai
• Erin Mokhtar, MFT

• Clinical Social Worker in Woodland Hills, CA
• Providers in Woodland Hills, 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 15, 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.