Healthcare Provider Details

I. General information

NPI: 1811107964
Provider Name (Legal Business Name): SUMIYAH SAKINA MSHAKA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20101 HAMILTON AVE STE 155
TORRANCE CA
90502-1314
US

IV. Provider business mailing address

560 W MAIN ST STE C327
ALHAMBRA CA
91801-3374
US

V. Phone/Fax

Practice location:
  • Phone: 213-358-1898
  • Fax:
Mailing address:
  • Phone: 213-358-1898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW65824
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: