KETZIA YAHAIRA ESCUDERO
NPI 1053930396
Social Worker in Fairfield, CA

Q: What is Ketzia Escudero's NPI number?

The NPI number for Ketzia Escudero is 1053930396. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Ketzia Escudero's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Ketzia Escudero was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 15, 2020

801 EMPIRE ST, FAIRFIELD, CA 94533(707) 425-5744(707) 425-5162 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Jul 25, 2023, Jul 30, 2021 and 1 more (4 updates tracked since 2020).

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About Ketzia Yahaira Escudero NPPES

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

KETZIA YAHAIRA ESCUDERO (NPI 1053930396) is an individual social worker in Fairfield, California, licensed in California (116623) and active in the NPI registry since April 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053930396

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKETZIA YAHAIRA ESCUDERO

Location Address801 EMPIRE STFairfield, CA 94533-5702

Mailing Address801 Empire StFairfield, CA 94533-5702 · (707) 425-5744 · Fax (707) 425-5162

Phone(707) 425-5744

Fax(707) 425-5162

Sole ProprietorNo

Enumeration DateApril 15, 2020

Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1053930396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 116623

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

801 EMPIRE ST, Fairfield, CA 94533

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Secondary Practice Locations 3

Location 1205 39th StRichmond, CA 94805-2212 · Phone (510) 415-5930

Location 22325 Clement Ave Ste AAlameda, CA 94501-7061 · Phone (510) 629-6300

Location 33480 Buskirk Ave Ste 210Pleasant Hill, CA 94523-4304 · Phone (925) 933-2627

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHARLIN AMBER LUMIA LMFT

Marriage & Family Therapist