Nadia Miriam Underwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

86189 Issued in CA

Practice address

901 Moraga Rd Ste D
Lafayette, CA 94549-4567

Phone

(510) 689-2700

NPI assigned

Apr 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1013570464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MORAGA RD STE D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494567",
            "telephone_number": "510-689-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MORAGA RD STE D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494567",
            "telephone_number": "510-689-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "NADIA",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "86189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy a. Lauritzen, D.D.S. Inc.
• Theresa Ann Tsingis, PA-C, DC, MS, MPH
• Christopher Neil Tucker, D.C.
• Twca Incorporated
• Sandy West Tysinger, RN
• University Healthcare Alliance
• Joann Urbina
• Herbert J Ure, M.D.
• Tara Uriz, PT
• Jessica Rebecca Valdez

• Clinical Social Worker in Lafayette, CA
• Providers in Lafayette, 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 Jun 11, 2019; 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.