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DZIYANA AVETISOV
NPI 1730040023
Social Worker - Clinical in Pacifica, CA

Active since November 18, 2025
1016 ESCALERO AVE, PACIFICA, CA 94044(916) 290-3499 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dziyana Avetisov NPPES

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

DZIYANA AVETISOV (NPI 1730040023) is an individual clinical provider in Pacifica, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1730040023
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDZIYANA AVETISOV
Location Address1016 ESCALERO AVEPacifica, CA 94044-3434
Mailing Address1016 Escalero AvePacifica, CA 94044-3434 · (916) 290-3499
Phone(916) 290-3499
Sole ProprietorNo
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1730040023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1016 ESCALERO AVE, Pacifica, CA 94044
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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 Dziyana Avetisov's NPI number?

The NPI number for Dziyana Avetisov is 1730040023. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Dziyana Avetisov located?

Dziyana Avetisov practices at 1016 Escalero Ave, Pacifica, CA 94044. The listed phone number is (916) 290-3499.

What is Dziyana Avetisov'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 Dziyana Avetisov was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.