Individual provider Active NPI

Narges Maududi, MSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1831621382
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW73944 Issued in CA
Practice address
1965 Sherrington Place
K111
Newport Beach, CA 92663
Phone
(703) 870-9297
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW73944 CA Primary

Addresses

Primary practice location

1965 Sherrington Place
K111
Newport Beach, CA 92663

Mailing address

1965 Sherrington Place
K111
Newport Beach, CA 92663
Phone (703) 870-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407002929 CA Practitioner - Clinical Social Worker 7113356452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Solstice Integrative Clinic 2 clinicians

Practice addresses (Care Compare)

26732 Crown Valley Pkwy
Suite 443
Mission Viejo, CA 92691-6375
Phone (949) 486-8532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW73944CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc Clinical CurrentSince Feb 16, 2020 Accepting new patients
Pacific Solstice Integrative Clinic Clinical CurrentSince Aug 18, 2024 Accepting new patients
Center for New Directions, Inc. CurrentSince Feb 16, 2020 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

26732 Crown Valley Pkwy
Ste 443
Mission Viejo, CA 92691
Phone (949) 200-7929

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1831621382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 SHERRINGTON PLACE",
            "address_2": "K111",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "703-870-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 SHERRINGTON PLACE",
            "address_2": "K111",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "703-870-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDUDI",
        "first_name": "NARGES",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW73944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.