Individual provider Active NPI

Dorene Lehavi, PHD

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1902342074
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5106 S Slauson Ave
Suite 192
Los Angeles, CA 90230
Phone
(474) 331-9070
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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 Primary

Addresses

Primary practice location

5106 S Slauson Ave
Suite 192
Los Angeles, CA 90230

Mailing address

5106 S Slauson Ave
Suite 192
Los Angeles, CA 90230

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
I20230831002604 CA Practitioner - Clinical Social Worker 3072976497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kohan International FoundationGroup PAC ID 6406169820, 5 clinicians

Practice addresses (Care Compare)

5601 W Slauson Ave
Suite 192
Culver City, CA 90230-6569
Phone (424) 331-9070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16753CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kohan International Foundation CurrentSince Jul 30, 2023 Accepting new patients
Brighter Tomorrow Family Therapy Inc Clinical CurrentSince Dec 14, 2025 Accepting new patients

Locations

5601 W Slauson Ave
Ste 192
Culver City, CA 90230
Phone (310) 968-6648

Organizations & group practices 2

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1902342074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 S SLAUSON AVE",
            "address_2": "SUITE 192",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 S SLAUSON AVE",
            "address_2": "SUITE 192",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "474-331-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHAVI",
        "first_name": "DORENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.