MOUKDAVANH SIACKASORN
NPI 1477098333
Social Worker - Clinical in Pittsburg, CA

Active since January 03, 2017
2311 LOVERIDGE RD, PITTSBURG, CA 94565(925) 431-2654(925) 431-2644 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2020, Jan 3, 2017 (2 updates tracked since 2017).

About Moukdavanh Siackasorn NPPES

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

MOUKDAVANH SIACKASORN (NPI 1477098333) is an individual clinical provider in Pittsburg, California, licensed in California (94227) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1477098333
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMOUKDAVANH SIACKASORN
Location Address2311 LOVERIDGE RDPittsburg, CA 94565-5117
Mailing Address2311 Loveridge RdPittsburg, CA 94565-5117 · (925) 431-2654 · Fax (925) 431-2644
Fax(925) 431-2644
Sole ProprietorNo
Enumeration DateJanuary 3, 2017
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
NPI 1477098333 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 · 94227
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.
2311 LOVERIDGE RD, Pittsburg, CA 94565

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.

Psychiatry & Neurology (Psychiatry)
2311 LOVERIDGE RD, 2ND FLOOR
PITTSBURG, CA 94565
Clinic/Center (Family Planning, Non-Surgical)
2311 LOVERIDGE RD
PITTSBURG, CA 94565
Marriage & Family Therapist
2311 LOVERIDGE RD, 2ND FLOOR
PITTSBURG, CA 94565
Physical Therapist
2311 LOVERIDGE RD
PITTSBURG, CA 94565
Pediatrics
2311 LOVERIDGE RD
PITTSBURG, CA 94565
Registered Nurse
2311 LOVERIDGE RD, 2ND FLOOR
PITTSBURG, CA 94565
Psychiatry & Neurology (Psychiatry)
2311 LOVERIDGE RD, 2ND FLOOR
PITTSBURG, CA 94565
Family Medicine
2311 LOVERIDGE RD
PITTSBURG, CA 94565

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 Moukdavanh Siackasorn's NPI number?

The NPI number for Moukdavanh Siackasorn is 1477098333. It was assigned to this individual provider in the NPPES registry on January 3, 2017.

Where is Moukdavanh Siackasorn located?

Moukdavanh Siackasorn practices at 2311 Loveridge Rd, Pittsburg, CA 94565. The listed phone number is (925) 431-2654.

What is Moukdavanh Siackasorn'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 Moukdavanh Siackasorn was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.