KEMBLY ASTUA MAHIRI LCSW
NPI 1245713262
Social Worker - Clinical in Santa Rosa, CA

Q: What is Kembly Mahiri's NPI number?

The NPI number for Kembly Mahiri is 1245713262. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Q: What is Kembly Mahiri's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kembly Mahiri was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2018PECOS Enrolled

625 5TH ST, SANTA ROSA, CA 95404(707) 565-4489 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kembly Astua Mahiri Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEMBLY ASTUA MAHIRI LCSW (NPI 1245713262) is an individual clinical provider in Santa Rosa, California, licensed in California (LCS22591) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245713262

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKEMBLY ASTUA MAHIRICredential: LCSW

Location Address625 5TH STSanta Rosa, CA 95404-4428

Mailing Address625 5th StSanta Rosa, CA 95404-4428 · (707) 565-4489

Phone(707) 565-4489

Sole ProprietorYes

Enumeration DateSeptember 14, 2018

✔ NPI 1245713262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCS22591

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

625 5TH ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kembly Astua Mahiri Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.04 – $187.01

Typical copayment $0.00 (range $15.76 – $46.75)

Most-billed visit code NA

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN P. SLOAN

Registered Nurse