Individual provider Active NPI

Aliza Menashe, LCSW

  • Clinical Social Worker
  • Laytonville, CA
National Provider Identifier
1962894147
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110866 Issued in CA
Practice address
50 Branscomb Rd
Laytonville, CA 95454-0870
Phone
(707) 984-6131
Fax
(707) 414-5006
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 110866 CA Primary

Addresses

Primary practice location

50 Branscomb Rd
Laytonville, CA 95454-0870

Mailing address

PO Box 870
Laytonville, CA 95454-0870
Phone (707) 984-6131

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
I20221102002566 CA Practitioner - Clinical Social Worker 6406223528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Valley Health CenterGroup PAC ID 8628965852, 11 clinicians

Practice addresses (Care Compare)

PO Box
Suite 870
Laytonville, CA 95454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110866CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Valley Health Center CurrentSince Dec 1, 2022 Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1962894147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "954540870",
            "telephone_number": "707-984-6131",
            "fax_number": "707-414-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRANSCOMB RD",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "954540870",
            "telephone_number": "707-984-6131",
            "fax_number": "707-414-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASHE",
        "first_name": "ALIZA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laytonville, CA

Sources for this page

Verify at the official NPI Registry.