Nathan Aish, LCSW
Individual provider Active NPI Clinical Social Worker · Tecate, CA
NPI 1780137141 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1780137141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 100849 (CA)
- Practice address
- 451 Tecate Rd
Suite 2G
Tecate, CA 91980 - Phone
- (619) 259-0676
- NPI assigned
- Aug 2, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW62577 | CA | MD | Mental Health Counselor |
| 100849 | CA | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 100849 | CA | |
| Clinical Social Worker | 1041C0700X | 100849 | CA | Yes |
| Mental Health Counselor | 101YM0800X | 100849 | CA | |
| Mental Health Counselor | 101YM0800X | ASW62577 | CA |
Addresses
Primary practice location
451 Tecate Rd
Suite 2G
Tecate, CA 91980
Mailing address
PO Box 369
#998
Tecate, CA 91980
Phone (619) 952-3404
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.