Provider Demographics
NPI:1437485851
Name:NAVIDI, NACEEM (MSW, LICSW, LCSW)
Entity type:Individual
Prefix:
First Name:NACEEM
Middle Name:
Last Name:NAVIDI
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-2955
Mailing Address - Country:US
Mailing Address - Phone:310-905-4896
Mailing Address - Fax:
Practice Address - Street 1:2007 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2955
Practice Address - Country:US
Practice Address - Phone:310-905-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606894631041C0700X
CA908661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical