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

Individual provider Social Worker · NPI 1184235194

Siavash Shakeri, BA, LCSW is a Clinical Social Worker in Gardena, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
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

879 W 190th St Ste 720
Gardena, CA 90248-4205
Phone: (310) 217-7312
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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 128359 (CA)
Social Worker Taxonomy 104100000X · Licence 102489 (CA)

Record details

NPI number1184235194
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , LCSW
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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