Active NPI
Insightful Growth Therapy Inc
- Clinical Social Worker
- San Mateo, CA
National Provider Identifier
1760182356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INSIGHTFUL GROWTH THERAPY INC
- Practice address
- 100 S San Mateo Dr
San Mateo, CA 94401 - Phone
- (415) 509-7730
- NPI assigned
- Mar 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Ali Nazir, LCSW
- Title
- Owner
- Phone
- (415) 509-7730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
100 S San Mateo Dr
San Mateo, CA 94401
Mailing address
210 S Ellsworth Avenue
#268
San Mateo, CA 94401-9991
Phone (415) 509-7730
National Provider Directory
National Provider DirectoryLocations
210 S Ellsworth Ave
Unit 268
San Mateo, CA 94401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Oakland, CA
- NPI 1245540822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1760182356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S ELLSWORTH AVENUE",
"address_2": "#268",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944019991",
"telephone_number": "415-509-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94401",
"telephone_number": "415-509-7730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHTFUL GROWTH THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "NAZIR",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-509-7730",
"authorized_official_name_prefix": "Mr.",
"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": []
}
Other providers in San Mateo, CA
- Shirin Shahinfar Imani, DDS
- Immediate Medical Care Inc
- Michael Stuart Immerman, MSW
- Impakt Medical, LLC (Impakt Medical)
- Inadvance Medicine Associates West, P. C. (Passport Health)
- Internal Medicine Associates of San Mateo
- Intero Chiropractic a Hsieh Corporation D
- Introspective Therapy by Joanna Tozer, Licensed Clinical Social Worker, Inc.
- Isabell Beddow MD a Medical Corporation
- David M Isenman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.