Individual provider · Type 1 NPI

Mia Stephana Peralta, MSW

Clinical Social Worker · San Diego, CA

NPI number 1265279756 Active

Practice location

3870 Murphy Canyon Rd Ste 320
San Diego, CA 92123-4453

Call (858) 300-0460 Map

Mailing address

3870 Murphy Canyon Rd
San Diego, CA 92123-4446

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1265279756

Mia Stephana Peralta, MSW's National Provider Identifier is 1265279756, issued on Jul 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jan 21, 2026.