MR. MASOOD MOGHADDAM (NPI# 1710342126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710342126 |
| Entity Type | Individual |
| Full Name | MR. MASOOD MOGHADDAM |
| Credential | MSW |
| Practice Address |
5975 Entrada Ave Unit 122 Atascadero CA 93422-4223 |
| Mailing Address |
9435 Jornada Ln Apt 6 Atascadero CA 93422-5874 |
| Practice Telephone | 4159021296 |
| Practice Fax Number | 8054669765 |
| Mailing Telephone | 4159021296 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW91689 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5975 ENTRADA AVE UNIT 122 |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| 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 |
|---|---|---|---|---|
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1487264024 | Brianna Calvert | Social Worker | 10405 Atascadero Ave, Atascadero, CA 93422-5461 | 2020-08-07 |
| 1538547203 | Michelle Blanc | Social Worker | 8181 San Dimas Rd, Atascadero, CA 93422-4848 | 2015-05-13 |
| 1699079954 | Molly Anne Eisen-kearns | Social Worker | 7400 Morro Rd Unit B, Atascadero, CA 93422-4467 | 2010-12-30 |
| 1780811364 | Shannon Joann Cantillano | Social Worker | 5955 Capistrano Ave Ste G, Atascadero, CA 93422-7227 | 2009-06-22 |
| 1265591614 | Richard Michael Teubner | Social Worker | 7650 Mira Flores Ave, Atascadero, CA 93422-3165 | 2006-12-08 |
| 1356412795 | Kristi Ann Ross | Social Worker | 5805 Capistrano Ave Ste D, Atascadero, CA 93422-7218 | 2006-11-09 |
| 1114553344 | Masood Moghaddam | Social Worker | 5975 Entrada Ave, Atascadero, CA 93422-4223 | 2020-03-19 |
| 1619434644 | Priscilla Anne Kiessig | Social Worker | 5955 Capistrano Ave Ste G, Atascadero, CA 93422-7227 | 2019-02-26 |
| 1619422987 | Debra M. Perez | Social Worker | 3556 El Camino Real, Atascadero, CA 93422-2532 | 2016-08-16 |
| Find all providers in ATASCADERO | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
Please comment or provide details below to improve the information on MR. MASOOD MOGHADDAM.
| 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.