SHAUDI ADEL, A LICENSED CLINICAL SOCIAL WORKER, INC. (NPI# 1700412129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700412129 |
Entity Type | Organization |
Organization Name | SHAUDI ADEL, A LICENSED CLINICAL SOCIAL WORKER, INC. |
Practice Address |
10541 Black Opal Rd San Diego CA 92127-4433 |
Practice Telephone | 8582153885 |
Enumeration Date | 2020-03-17 |
Last Update Date | 2020-03-17 |
Authorized Official Name | BRIAN CLINE (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 7407073885 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Centered Mind Therapy | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | SHAUDI ADEL, A LICENSED CLINICAL SOCIAL WORKER, INC. | 10541 Black Opal Road, San Diego, Ca 92127 |
Street Address |
10541 BLACK OPAL RD |
City | SAN DIEGO |
State | CA |
Zip Code | 92127-4433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164730974 | Shaudi Adel | Social Worker | 10541 Black Opal Rd, San Diego, CA 92127 | 2010-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
Find all providers in zip 92127 |
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 |
---|---|---|---|---|
1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
Find all providers in SAN DIEGO |
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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.