Healthcare Provider Details

I. General information

NPI: 1841937836
Provider Name (Legal Business Name): MARIANA TIWARI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE 5934
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

1220 HOWARD AVE STE 230
BURLINGAME CA
94010-4252
US

V. Phone/Fax

Practice location:
  • Phone: 650-530-0408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number134959
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: