Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Emiliano Lara

Individual provider Clinical Social Worker · NPI 1811723505

Jared Emiliano Lara is a Clinical Social Worker in Long Beach, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1301 Pine Ave
Long Beach, CA 90813-3124
Phone: (562) 595-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 132319 (CA)
Clinical Social Worker Taxonomy 1041C0700X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1811723505
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESJuly 28, 2025
Certification dateJuly 23, 2025

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