Empowered Vida Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMPOWERED VIDA THERAPY

Practice address

3108 Fifth Ave Ste E
San Diego, CA 92103-5829

Phone

(858) 707-5148

NPI assigned

Nov 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paola Berg, LCSW

Title

Therapist

Phone

(858) 707-5148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paola Nieto-Aguayo

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1386197713
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1003680711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 FIFTH AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035829",
            "telephone_number": "858-707-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 FIFTH AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035829",
            "telephone_number": "858-707-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED VIDA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "858-707-5148",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empower Neurorehab
• Empower Physical Therapy Inc
• Empowered Community Management
• Empowered Heart Care, Inc.
• Empowered Therapy Group
• Charles Emrhein, CADC-CAS
• En Acupuncture & Herbology, Inc
• Alana Enano Sahagun
• Mehr Enayati, BA
• Nima Enayati, PT, DPT

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.