Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUDREY SOPHIA JARAHZADEH, LICENSED CLINICAL SOCIAL WORKER, P.C

Doing business as

My Serene Spot

Practice address

1901 1St Ave Ste 104
San Diego, CA 92101-0300

Phone

(310) 770-2431

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Audrey Jarahzadeh, LCSWNPI 1811640931

Title

Director

Phone

(310) 770-2431

Specialties & licenses 1

Addresses

Other names 1

• My Serene Spot Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Sophia Jarahzadeh, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1811640931
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1508506072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 CAMPO RD STE 1015",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771415",
            "telephone_number": "310-770-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921010300",
            "telephone_number": "310-770-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY SOPHIA JARAHZADEH, LICENSED CLINICAL SOCIAL WORKER, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "JARAHZADEH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-770-2431",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Serene Spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Leon Aubin, M.D.
• Douglas Christopher Aucoin, L.C.S.W.
• Natalie Amanda Audain, NP
• Audio Etc, , Inc. (Miracle-Ear Center)
• Audioscope Audiology Group Apc
• Audrey Wang DDS Corporation
• Callie Auer
• Tami S. Auerbach, D.C.
• Ron Punit Auerbacher
• Rosio Auger, LMFT

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Apr 8, 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.