Individual provider · Type 1 NPI

Masood Moghaddam, MSW

Clinical Social Worker · Atascadero, CA

NPI number 1710342126 Active

Practice location

5975 Entrada Ave Unit 122
Atascadero, CA 93422-4223

Fax (805) 466-9765

Mailing address

9435 Jornada Ln Apt 6
Atascadero, CA 93422-5874

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW91689 (CA)
Clinical Social Worker 1041C0700X126862 (MA)

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 1710342126

Masood Moghaddam, MSW's National Provider Identifier is 1710342126, issued on Dec 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atascadero, CA. The record was last updated on Mar 9, 2026.