MIA GRAJEDA WILLARD LCSW
NPI 1164896742
Social Worker - Clinical in San Clemente, CA

Active since November 19, 2015
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672(714) 394-3351 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2025, Nov 19, 2015 (2 updates tracked since 2015).

About Mia Grajeda Willard Lcsw NPPES

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

MIA GRAJEDA WILLARD LCSW (NPI 1164896742) is an individual clinical provider in San Clemente, California, licensed in California (115788) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1164896742
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIA GRAJEDA WILLARDCredential: LCSW
Location Address3551 CAMINO MIRA COSTA STE TSan Clemente, CA 92672-3508
Mailing AddressPo Box 2615Costa Mesa, CA 92628-2615 · (714) 394-3351
Sole ProprietorYes
Enumeration DateNovember 19, 2015
Last NPPES UpdateFebruary 15, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2025
NPI 1164896742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 115788
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.
3551 CAMINO MIRA COSTA STE T, San Clemente, CA 92672

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Psychologist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Student in an Organized Health Care Education/Training Program
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Social Worker
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Social Worker (Clinical)
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672
Marriage & Family Therapist
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA 92672

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 Mia Willard's NPI number?

The NPI number for Mia Willard is 1164896742. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Mia Willard located?

Mia Willard practices at 3551 Camino Mira Costa Ste T, San Clemente, CA 92672. The listed phone number is (714) 394-3351.

What is Mia Willard's specialty?

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

What insurance does Mia Willard accept?

Health plans from Providence Health Plan list Mia Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mia Willard was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.