MICHELLE MOUSHIR IBRAHIM LCSW
NPI 1689461766
Social Worker in Santa Clara, CA

Q: What is Michelle Ibrahim's NPI number?

The NPI number for Michelle Ibrahim is 1689461766. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Michelle Ibrahim'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 Michelle Ibrahim was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 22, 2025PECOS Enrolled

5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(424) 234-3751 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michelle Moushir Ibrahim Lcsw NPPES

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

MICHELLE MOUSHIR IBRAHIM LCSW (NPI 1689461766) is an individual social worker in Santa Clara, California, licensed in California (128122) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689461766

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMICHELLE MOUSHIR IBRAHIMCredential: LCSW

Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140

Mailing AddressPo Box 6854Huntington Beach, CA 92615-6854 · (424) 234-3751

Phone(424) 234-3751

Sole ProprietorYes

Enumeration DateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1689461766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 128122

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.

5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Moushir Ibrahim Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. DEBORAH MARIE BOUCHER-CARTER

Marriage & Family Therapist