Active NPI
Metamorphosis Health, Inc.-Licensed Clinical Social Worker, a Professional Corporation
- Adult Mental Health Clinic/Center
- Sacramento, CA
National Provider Identifier
1306639513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- METAMORPHOSIS HEALTH, INC.-LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
- Practice address
- 2108 N St Ste N
Sacramento, CA 95816-5712 - Phone
- (925) 701-1924
- NPI assigned
- May 28, 2025
- Last updated
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priscilla Devera Pasoquen, LCSW, CCTP, CVMHP
- Title
- Director
- Phone
- (925) 701-1924
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2108 N St Ste N
Sacramento, CA 95816-5712
Mailing address
2150 Portola Ave Ste D188
Livermore, CA 94551-1784
Phone (925) 701-1924
National Provider Directory
National Provider DirectoryLocations
2150 Portola Ave
Ste D188
Livermore, CA 94551
Phone (808) 721-9978
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Livermore, CA
- NPI 1538511829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1306639513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PORTOLA AVE STE D188",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945511784",
"telephone_number": "925-701-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N ST STE N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "925-701-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METAMORPHOSIS HEALTH, INC.-LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-28",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "DEVERA PASOQUEN",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "925-701-1924",
"authorized_official_credential": "LCSW, CCTP, CVMHP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.