Active NPI
Aliza Menashe, LCSW
- Clinical Social Worker
- Laytonville, CA
National Provider Identifier
1962894147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Practice addresses (Care Compare)
PO Box
Suite 870
Laytonville, CA 95454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110866 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Valley Health Center | Current | Accepting new patients |
Locations
50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.