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NPI Code Detail

MEDICARE: MONA AVAZ LCSW

MEDICARE:   MONA  AVAZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1548704851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA AVAZ LCSW
Provider Business Mailing Address
First Line : 3801 MIRANDA AVE BLDG 520
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3801 MIRANDA AVE BLDG 520
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number : 818-598-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2016
Last Update Date : 01/24/2026

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Directions to “ MONA AVAZ LCSW” Practice Location

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