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

Mr. Mohammed Sufiyan Kagzi, LCSW

Individual provider Mental Health Counselor · NPI 1366937757

Mr. Mohammed Sufiyan Kagzi, LCSW is a Clinical Social Worker in Venice, California. Qualified in 2018, 8 years ago. Practices with Swedish Health Services, a 1,045-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-2623
Phone: (310) 396-6468
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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 107568 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 84502 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1366937757
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 27, 2018
Last updated in NPPESOctober 15, 2024
Certification dateApril 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Swedish Health Services — 1045 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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