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

Shiva Banafti

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154831311

Shiva Banafti is a Clinical Social Worker in Culver City, California. Qualified in 2019, 7 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

4760 Sepulveda Blvd
Culver City, CA 90230
Phone: (310) 390-6612
Fax: (310) 398-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5825 W Olympic Blvd, Los Angeles, CA 90036-4612 — (323) 933-9022
  • 5825 W Olympic Blvd, Los Angeles, CA 90036-4612 — (323) 933-9022

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 121115 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X · Licence 92135 (CA)
Social Worker Taxonomy 104100000X

Record details

NPI number1154831311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address323 N Prairie Ave, Inglewood, CA 90301-4502

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Culver City