Socal Therapy Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 28234 Issued in CA

Legal business name

SOCAL THERAPY CENTER, INC.

Practice address

19720 Ventura Blvd Ste C
Woodland Hills, CA 91364-2676

Phone

(818) 804-0322

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Beth Jakubanis, LCSWNPI 1700079191

Title

President

Phone

(818) 804-0322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth Jakubanis, LCSW

  • Clinical Social Worker
  • Simi Valley, CA
  • NPI 1700079191
  Medicare reassignment NPD Authorized official
• Kiana Naimi

  • Social Worker
  • Los Angeles, CA
  • NPI 1417474610
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1871956656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642676",
            "telephone_number": "818-804-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642676",
            "telephone_number": "818-804-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "JAKUBANIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-804-0322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 28234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Soares-McLean
• Sober College
• Sober College Environments, LLC
• Sober College Environments, LLC
• Sober Haven Recovery
• Social Coaching Club Inc.
• Yohan Menaheim M Socorro, NONE
• Rajesh K. Sodhi, DO, MPH
• Soheil Drakhshani DDS Inc
• Soheil Drakhshani DDS, Inc

• 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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.