Individual provider · Type 1 NPI

Dziyana Avetisov

Clinical Social Worker · Pacifica, CA

NPI number 1730040023 Active

Practice location

1016 Escalero Ave
Pacifica, CA 94044-3434

Call (916) 290-3499 Map

Specialties and licenses

TaxonomyCodeLicense
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 1730040023

Dziyana Avetisov's National Provider Identifier is 1730040023, issued on Nov 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pacifica, CA. The record was last updated on Nov 18, 2025.