NPI 1336863448 · live from the CMS NPI Registry
Meysam Adibzadeh
Social Worker, Clinical in Yakima, WA. National Provider Identifier 1336863448, active.
NPI record
| NPI | 1336863448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3801 Kern Way, Yakima, WA 98902 |
| Practice phone | 509-574-3238 |
| Mailing address | Po Box 190, Toppenish, WA 98948 |
| Enumerated | October 3, 2022 |
| Last updated | March 16, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LW61683484 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.