Individual provider Active NPI

Tasneem Dadabhoy, ASW

  • Clinical Social Worker
  • Corona, CA
National Provider Identifier
1336926468
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132086 Issued in CA
Practice address
563 Fairbanks St
Corona, CA 92879-5845
Phone
(714) 785-9228
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132086 CA Primary

Addresses

Primary practice location

563 Fairbanks St
Corona, CA 92879-5845

Mailing address

563 Fairbanks St
Corona, CA 92879-5845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
132086CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Youth and Family Services CurrentSince Sep 17, 2023 Accepting new patients

Locations

19201 120th Ave NE
Ste 108
Bothell, WA 98011
Phone (425) 485-6541

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1336926468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 FAIRBANKS ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 FAIRBANKS ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795845",
            "telephone_number": "714-785-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADABHOY",
        "first_name": "TASNEEM",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.