Michaela Cecilia Zavala, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW106318 Issued in CA

Practice address

1101 S Winchester Blvd Ste J218
San Jose, CA 95128-3919

Phone

(408) 874-6506

NPI assigned

Mar 15, 2022

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

Electronic endpoints 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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1376291716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SAIDEL DR APT 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244240",
            "telephone_number": "650-224-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE J218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283919",
            "telephone_number": "408-874-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "MICHAELA",
        "middle_name": "CECILIA",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW106318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hellofax.com",
            "affiliation": "N",
            "endpointDescription": "Digital Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 S Winchester Blvd Ste J218",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951283919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Anna Zaucha, MD
• Adela Zavala
• Anthony Zavala
• Emily Wing Zavala, LCSW
• Maria Dolores Zavala, OTR/L
• Miguel Zavala
• Mikaela Zavala
• Miriam Susana Zavala
• Rodolfo Zavala
• Cecily Zazueta, LMFT

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Mar 15, 2022; 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.