1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Social Worker
  6. NPI Profile

AKIKO MIMURA-LAZARE LCSW
NPI 1720030075
Social Worker - Clinical in Los Angeles, CA

Active since May 16, 2006PECOS Enrolled
605 W OLYMPIC BLVD, LOS ANGELES, CA 90015(213) 553-1850(213) 553-1864 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Akiko Mimura-lazare Lcsw NPPES

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

AKIKO MIMURA-LAZARE LCSW (NPI 1720030075) is an individual clinical provider in Los Angeles, California, licensed in California (LCS20016) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720030075
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAKIKO MIMURA-LAZARECredential: LCSW
Location Address605 W OLYMPIC BLVDLos Angeles, CA 90015-1483
Mailing Address605 W Olympic BlvdLos Angeles, CA 90015-1400 · (213) 553-1850 · Fax (213) 553-1864
Phone(213) 553-1850
Fax(213) 553-1864
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 12, 2007
✔ NPI 1720030075 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 · LCS20016
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.
605 W OLYMPIC BLVD, Los Angeles, CA 90015
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedSW20016CA · Clinical Social Worker

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Akiko Mimura-lazare 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.

Medicare Billing Reassignment

Medicare enrollment records show Akiko Mimura-lazare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Special Service For Groups, Inc.
0.7 mi
Mental Health (Including Community Mental Health Center)
1310 WILSHIRE BLVD
Los Angeles, CA 90017
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1669503793 (213) 483-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

MRS. MARIA ISABELLE GRANADOS
Case Manager/Care Coordinator
605 W OLYMPIC BLVD, SUITE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1800
HONGSUN KIM
Rehabilitation Practitioner
605 W OLYMPIC BLVD, STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9394
RIFFAT J RAHMAN
Case Manager/Care Coordinator
605 W OLYMPIC BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
MAN Y YEUNG
Case Manager/Care Coordinator
605 W OLYMPIC BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
CATHERINE F PEELER WILKINS
Counselor (Addiction (Substance Use Disorder))
605 W OLYMPIC BLVD, SUITE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1800
ERIC LEE GRAY
Case Manager/Care Coordinator
605 W OLYMPIC BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
KISMET KRYSTEL VINE CORDOVA
Licensed Vocational Nurse
605 W OLYMPIC BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
FAASALALAU MATAALII
Case Manager/Care Coordinator
605 W OLYMPIC BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akiko Mimura-lazare's NPI number?

The NPI number for Akiko Mimura-lazare is 1720030075. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Akiko Mimura-lazare located?

Akiko Mimura-lazare practices at 605 W Olympic Blvd, Los Angeles, CA 90015. The listed phone number is (213) 553-1850.

What is Akiko Mimura-lazare's specialty?

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

Is Akiko Mimura-lazare enrolled in Medicare?

Yes. Akiko Mimura-lazare is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Akiko Mimura-lazare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akiko Mimura-lazare reassigns Medicare benefits to Special Service For Groups, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akiko Mimura-lazare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Akiko Mimura-lazare was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.