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NPI 1932816360 · live from the CMS NPI Registry

Zachary Hamilton Avery, LCSW, BC-TMH, TIYT

Social Worker, Clinical in San Diego, CA. National Provider Identifier 1932816360, active.

NPI record

NPI1932816360 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location550 W B St Fl 4, San Diego, CA 92101
Practice phone417-216-7501
Mailing address5401 S Harvard Ave # 402, Tulsa, OK 74135
EnumeratedNovember 4, 2022
Last updatedOctober 3, 2026
Sole proprietorYes
Other namesZ. Avery

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X22645 (OK)
Social Worker, Clinical1041C0700X9081435 (ID)
Social Worker104100000X—
Social Worker, Clinical1041C0700XTPSW7232 (FL)
Case Manager/Care Coordinator171M00000X—
Social Worker, Clinical1041C0700X2089 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.