Liberty Clamucha Cajayon

Individual provider Active NPI School Social Worker · Pacifica, CA

NPI 1659025013 · NPPES record last updated Sep 10, 2026

Key facts

NPI
1659025013
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
116532 (CA)
Practice address
401 Paloma Ave
Pacifica, CA 94044-2436
Phone
(650) 550-7379
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041S0200X 116532 CA Yes

Addresses

Primary practice location

401 Paloma Ave
Pacifica, CA 94044-2436

Mailing address

401 Paloma Ave
Pacifica, CA 94044-2436
Phone (650) 550-7379

Other providers in Pacifica, CA

All providers in Pacifica, CA · School Social Worker in California

Sources for this page

Verify at the official NPI Registry.