AVI-NATAN ZADAKA LCSW
NPI 1154927226
Social Worker - Clinical in Boulder, CO

Q: What is Avi-natan Zadaka's NPI number?

The NPI number for Avi-natan Zadaka is 1154927226. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Q: What is Avi-natan Zadaka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Avi-natan Zadaka was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 04, 2020

777 29TH ST STE 500, BOULDER, CO 80303(763) 442-7238 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, Dec 4, 2020 (2 updates tracked since 2020).

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About Avi-natan Zadaka Lcsw NPPES

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

AVI-NATAN ZADAKA LCSW (NPI 1154927226) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (09928781) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1154927226

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameAVI-NATAN ZADAKACredential: LCSW

Location Address777 29TH ST STE 500Boulder, CO 80303-2357

Mailing Address569 Willoughby Way EHopkins, MN 55305-5414 · (763) 442-7238

Phone(763) 442-7238

Sole ProprietorYes

Enumeration DateDecember 4, 2020

Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1154927226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CO · 09928781✔ Licensed in MN · 28038

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.

777 29TH ST STE 500, Boulder, CO 80303

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Other Providers at the Same Location NPPES 16

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

HEART CENTERED COUNSELING, PC

Counselor (Mental Health)