KHADEEJA MIRZA (NPI# 1649705344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649705344 |
| Entity Type | Individual |
| Full Name | KHADEEJA MIRZA |
| Practice Address |
2702 Clayton Rd 207 Concord CA 94519-2789 |
| Practice Telephone | 9257713100 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
73585 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2702 CLAYTON RD 207 |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706277 | John F. Kennedy University | Counselor | 2702 Clayton Rd, Concord, CA 94519-2789 | 2014-10-29 |
| 1750879268 | Elizabeth Wahl-polivka | Marriage & Family Therapist | 2702 Clayton Rd, Concord, CA 94519 | 2018-04-30 |
| 1235640640 | Lindsay Sweetnam | Counselor | 2702 Clayton Rd, Concord, CA 94519-2789 | 2017-10-12 |
| 1851817498 | Maria Yarwood Otsuka | Student in an Organized Health Care Education/Training Program | 2702 Clayton Rd, Concord, CA 94519-2789 | 2017-08-15 |
| 1275057713 | Michelle Donelle Thorn | Student in an Organized Health Care Education/Training Program | 2702 Clayton Rd, Concord, CA 94519-2789 | 2017-07-26 |
| 1215462916 | Lauren Grayman | Marriage & Family Therapist | 2702 Clayton Rd, 207, Concord, CA 94519-2789 | 2017-05-01 |
| 1306386164 | Miledrea Ann Stubbs | Marriage & Family Therapist | 2702 Clayton Rd, Ste. 200, Concord, CA 94519-2789 | 2017-02-27 |
| 1487193546 | Eve Marina Libertone | Marriage & Family Therapist | 2702 Clayton Rd, Concord, CA 94519-2789 | 2017-02-21 |
| 1376090126 | Carol Holt | Marriage & Family Therapist | 2702 Clayton Rd, Concord, CA 94519-2789 | 2016-09-08 |
| 1598212078 | Jerry F Mellin | Marriage & Family Therapist | 2702 Clayton Rd, Concord, CA 94519-2789 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1871190843 | Mary Cabarles | Social Worker | 2604 Vargas Ct, Concord, CA 94520-4630 | 2020-10-02 |
| 1619591765 | Nakalah Wilson | Social Worker | 2353 Concord Lake Rd, Concord, NC 28025-2877 | 2020-06-04 |
| 1821624511 | Cynthia G Tubbs | Social Worker | 8 Centre St # 2, Concord, NH 03301-6302 | 2020-03-13 |
| 1396370375 | Kathryn Starratt Licsw Pllc | Social Worker | 1 Tremont St Ofc 4, Concord, NH 03301-4465 | 2020-03-10 |
| 1720619703 | Stephen Patrick Hayes | Social Worker | 591 Sandringham Pl, Concord, NC 28025-3116 | 2020-01-29 |
| 1295377075 | Monica Jo Prestage | Social Worker | 4913 Hathwyck Ct Nw, Concord, NC 28027-4625 | 2019-10-12 |
| 1710529037 | Capital Valley Counseling Associates, LLC | Social Worker | 8 Centre St Ste 2, Concord, NH 03301-6302 | 2019-10-09 |
| 1497316558 | Maria Luk | Social Worker | 5503 Sun Cloud Ct, Concord, CA 94521-5012 | 2019-06-27 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.