Individual provider Active NPI

Hekmat Izzat

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1881246635
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW122837 Issued in CA
Practice address
5850 Thille St Ste 105
Ventura, CA 93003-5494
Phone
(805) 981-6830
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 LCSW122837 CA Primary

Addresses

Primary practice location

5850 Thille St Ste 105
Ventura, CA 93003-5494

Mailing address

5850 Thille St Ste 105
Ventura, CA 93003-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20241107003143 CA Practitioner - Clinical Social Worker 7416481833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

555 Marin St
Suite 180
Thousand Oaks, CA 91360-4104
Phone (805) 273-8752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW122837CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. Mental Health CurrentSince Sep 2, 2024 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jun 29, 2026 Accepting new patients
Aspira Foster & Family Services - Ventura PastSince Jul 1, 2022 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

555 Marin St
Ste 180
Thousand Oaks, CA 91360
Phone (626) 701-4249

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1881246635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 THILLE ST STE 105",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 THILLE ST STE 105",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035494",
            "telephone_number": "805-981-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZAT",
        "first_name": "HEKMAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW122837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.