MR. MASOOD MOGHADDAM MSW
NPI 1710342126
Social Worker - Clinical in Atascadero, CA
NPI Status: Active since December 30, 2015
Contact Information
5975 ENTRADA AVE UNIT 122
ATASCADERO, CA
ZIP 93422
Phone: (415) 902-1296
Fax: (805) 466-9765
- Individual
- Male
- Social Worker
- Clinical
- Opted-Out Medicare
About MASOOD MOGHADDAM
This page provides the complete NPI Profile along with additional information for Masood Moghaddam, a provider established in Atascadero, California with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1710342126 assigned on December 2015. The practitioner's primary taxonomy code is 1041C0700X with license number LCSW91689 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1710342126
- Provider Name
- MR. MASOOD MOGHADDAM MSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5975 ENTRADA AVE UNIT 122 ATASCADERO, CA 93422
- Location Phone
- (415) 902-1296
- Location Fax
- (805) 466-9765
- Mailing Address
- 9435 JORNADA LN APT 6 ATASCADERO, CA 93422
- Mailing Phone
- (415) 902-1296
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-30-2015
- Last Update Date
- 01-27-2020
- Code Navigator
A clinical social worker like Masood Moghaddam is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Masood Moghaddam opted out of Medicare effective on 07-01-2023 until 07-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCSW91689
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2023
Opt-Out End Date: 07-01-2025
Eligible to Order and Refer? No
Reviews for MR. MASOOD MOGHADDAM MSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 4 | 2 | 1 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 4 | 4 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 4 + 4 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710342126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710342126, enumerated as an "individual" on December 30, 2015.
The provider is located at 5975 ENTRADA AVE UNIT 122 ATASCADERO, CA 93422 and the phone number is (415) 902-1296.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
