EMPOWERED VIDA THERAPY
NPI 1003680711
Social Worker - Clinical in San Diego, CA

Active since November 13, 2023
3108 FIFTH AVE STE E, SAN DIEGO, CA 92103(858) 707-5148 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Empowered Vida Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPOWERED VIDA THERAPY (NPI 1003680711) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since November 2023. The organization lists Paola Berg, Therapist, as its authorized official.

NPPES Registry Identity

NPI1003680711
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMPOWERED VIDA THERAPY
Location Address3108 FIFTH AVE STE ESan Diego, CA 92103-5829
Mailing Address3108 Fifth Ave Ste ESan Diego, CA 92103-5829 · (858) 707-5148
Organization SubpartNo
Authorized OfficialPaola BergTherapist · (858) 707-5148
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
NPI 1003680711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
3108 FIFTH AVE STE E, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Empowered Vida Therapy's NPI number?

The NPI number for Empowered Vida Therapy is 1003680711. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Empowered Vida Therapy located?

Empowered Vida Therapy is located at 3108 Fifth Ave Ste E, San Diego, CA 92103. The listed phone number is (858) 707-5148.

What is Empowered Vida Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Empowered Vida Therapy was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.