Nastassjavargaslicensedclinicalsocialworker.Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NASTASSJAVARGASLICENSEDCLINICALSOCIALWORKER.INC

Practice address

4075 Park Blvd Ste 102-156
San Diego, CA 92103-2670

Phone

(619) 786-6402

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Nastassja Rachelle Vargas, LCSWNPI 1821393026

Title

Owner/Director

Phone

(619) 786-6402

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nastassja Rachelle Vargas, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
  • NPI 1821393026
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1881278703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 PARK BLVD STE 102-156",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032670",
            "telephone_number": "619-786-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 PARK BLVD STE 102-156",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032670",
            "telephone_number": "619-786-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASTASSJAVARGASLICENSEDCLINICALSOCIALWORKER.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "NASTASSJA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "619-786-6402",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Elizabeth Nassif, RN
• Leela Metz Nassif, PA-C
• Mamanding Nasso
• Claudette Nassoor-Satnick, D.O.
• Blaire Elise Nasstrom, DO, MPH
• Ashley Edwards Natad, BSN, RN
• Natalie Coates LMFT
• Jenna Litz Natalizio, CCC-SLP
• Natalya Carmichael DDS, Inc
• Navya Nataraj

• Adult Mental Health Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.