SD Zen Licensed Clinical Social Worker Professional Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SD ZEN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION

Practice address

8885 Rio San Diego Dr Ste 237
San Diego, CA 92108-1661

Phone

(619) 363-1921

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Alexander Petro

Title

Clinical Manager

Phone

(818) 414-4610

Specialties & licenses 1

Addresses

Other names 1

• SD Zen Doing business as

Practitioners 1

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

• Alex Petro, MSW, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1891455390
  NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1306635404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 UNIVERSITY AVE STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042009",
            "telephone_number": "619-363-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 237",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081661",
            "telephone_number": "619-363-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD ZEN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "818-414-4610"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SD Zen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SD Medical Transport
• SD Neuropsychological Associates, PC
• SD Nutrition Group
• SD Rental Auto Corporation
• SD Sports Medicine and Family Health Center
• Sdcph
• SDFC Ivf and Andrology Laboratory
• SDFC Ivf and Andrology Laboratory
• SDMT Ambulance Services, LLC
• Sdosc, LP

• 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 May 5, 2025; 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.