GOLDEN STATE LICENSED CLINICAL SOCIAL WORKER INC.
NPI 1457165599
Social Worker - Clinical in La Jolla, CA
About Golden State Licensed Clinical Social Worker Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN STATE LICENSED CLINICAL SOCIAL WORKER INC. (NPI 1457165599), doing business as Golden State Psychotherapy, is a healthcare organization registered as a clinical in La Jolla, California and active in the NPI registry since February 2025. The organization lists Roxanna Shafizadeh, Licensed Clinical Social Worker, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA JOLLA, CA 92037
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 Golden State Licensed Clinical Social Worker Inc.'s NPI number?
The NPI number for Golden State Licensed Clinical Social Worker Inc. is 1457165599. It was assigned to this organization in the NPPES registry on February 6, 2025. The provider is doing business as Golden State Psychotherapy.
Where is Golden State Licensed Clinical Social Worker Inc. located?
Golden State Licensed Clinical Social Worker Inc. is located at 3252 Holiday Ct Ste 102, La Jolla, CA 92037. The listed phone number is (714) 222-7786.
What is Golden State Licensed Clinical Social Worker Inc.'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 Golden State Licensed Clinical Social Worker Inc. was last updated on February 6, 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.