Sofia Ahmed
Individual provider Active NPI Clinical Social Worker · Tustin, CA
NPI 1992524151 · NPPES record last updated Oct 5, 2024
Key facts
- NPI
- 1992524151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 126271 (CA)
- Practice address
- 12205 Glines CT
Tustin, CA 92782-1287 - Phone
- (801) 634-4470
- NPI assigned
- Oct 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 126271 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Single Specialty | Past | Accepting new patients |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 126271 | CA | Yes |
Addresses
Primary practice location
12205 Glines CT
Tustin, CA 92782-1287
Mailing address
12205 Glines CT
Tustin, CA 92782-1287
Phone (801) 634-4470
Other providers in Tustin, CA
- Daisy Aguilar
- Evelyn N Aguilar
- Veronica Elisa Aguilar
- Abdul Akthar Ahamath
- Shadia Ahmed
- Heayoun Ahn
- Christine Nnenna Akparanta
- Mohamed Fekry Al-Sadek
- Michelle Alabran
- Alamitos Dermatological Medical Clinic a Professional Corp
All providers in Tustin, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 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.