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MR. MASOOD MOGHADDAM MSW
NPI 1710342126
Social Worker - Clinical in Atascadero, CA

Active since December 30, 2015Opted out of Medicare · through Jul 1, 2027
5975 ENTRADA AVE UNIT 122, ATASCADERO, CA 93422(415) 902-1296(805) 466-9765 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Jan 27, 2020, Dec 30, 2015 (3 updates tracked since 2015).

About Mr. Masood Moghaddam Msw NPPES

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

MR. MASOOD MOGHADDAM MSW (NPI 1710342126) is an individual clinical provider in Atascadero, California, licensed in California (LCSW91689) and active in the NPI registry since December 2015. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1710342126
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MASOOD MOGHADDAMCredential: MSW
Location Address5975 ENTRADA AVE UNIT 122Atascadero, CA 93422-4223
Mailing Address9435 Jornada Ln Apt 6Atascadero, CA 93422-5874 · (415) 902-1296
Phone(415) 902-1296
Fax(805) 466-9765
Sole ProprietorYes
Enumeration DateDecember 30, 2015
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1710342126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCSW91689✔ Licensed in MA · 126862
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.
5975 ENTRADA AVE UNIT 122, Atascadero, CA 93422
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mr. Masood Moghaddam Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Masood Moghaddam's NPI number?

The NPI number for Masood Moghaddam is 1710342126. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Masood Moghaddam located?

Masood Moghaddam practices at 5975 Entrada Ave Unit 122, Atascadero, CA 93422. The listed phone number is (415) 902-1296.

What is Masood Moghaddam's specialty?

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

Is Masood Moghaddam enrolled in Medicare?

No. Masood Moghaddam has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Masood Moghaddam was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.