Healthcare Provider Details

I. General information

NPI: 1831833227
Provider Name (Legal Business Name): LANA GOLDSHMIT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16720 TIM LN
VAN NUYS CA
91406-5573
US

IV. Provider business mailing address

PO BOX 18092
ENCINO CA
91416-8092
US

V. Phone/Fax

Practice location:
  • Phone: 747-999-0193
  • Fax:
Mailing address:
  • Phone: 747-999-0109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LANA GOLDSHMIT
Title or Position: MANAGER
Credential: LCSW
Phone: 747-999-0193