Active NPI
Delara Taie-Tehrani, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1407567027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 139219
- Practice address
- 3132 Jefferson St
San Diego, CA 92110-4421 - Phone
- (619) 683-3100
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 139219 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3132 Jefferson St
San Diego, CA 92110-4421
Mailing address
3132 Jefferson St
San Diego, CA 92110-4421
Phone (619) 683-3100
Other practice location 1
338 W Lexington Ave
El Cajon, CA 92020-4465
Phone (619) 906-4527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers of San Diego Inc
Practice addresses (Care Compare)
1111 W Chase Ave
El Cajon, CA 92020-5710
Phone (619) 515-2499
525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120655 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1164115135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1407567027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 JEFFERSON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104421",
"telephone_number": "619-683-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 JEFFERSON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104421",
"telephone_number": "619-683-3100"
}
],
"practiceLocations": [
{
"address_1": "338 W Lexington Ave",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920204465",
"country_code": "US",
"telephone_number": "619-906-4527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAIE-TEHRANI",
"first_name": "DELARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "139219",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.