Active NPI
Miusotic Zaragoza, MSW/ASW
- Clinical Social Worker
- Stockton, CA
National Provider Identifier
1386969798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1755 W. Hammer Lane Suite 8
Latino Behavioral Health
Stockton, CA 95209 - Phone
- (209) 444-8910
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1755 W. Hammer Lane Suite 8
Latino Behavioral Health
Stockton, CA 95209
Mailing address
7525 Shoreline Dr
Stockton, CA 95219-4589
Phone (209) 594-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24975 | Other | CA | ASW |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Concilio | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1194001941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1386969798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 SHORELINE DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952194589",
"telephone_number": "209-594-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 W. HAMMER LANE SUITE 8",
"address_2": "LATINO BEHAVIORAL HEALTH",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95209",
"telephone_number": "209-444-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARAGOZA",
"first_name": "MIUSOTIC",
"credential": "MSW/ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "24975",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.