Individual provider · Type 1 NPI

Khadeeja S. Mirza

Clinical Social Worker · Concord, CA

NPI number 1649705344 Active

Practice location

2702 Clayton Rd, 207
Concord, CA 94519-2789

Mailing address

PO Box 1753
Chino Hills, CA 91709-0059

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700X73585 (CA)
Clinical Social Worker Primary 1041C0700X101027 (CA)

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 1649705344

Khadeeja S. Mirza's National Provider Identifier is 1649705344, issued on May 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, CA. The record was last updated on Jan 9, 2024.