DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIA GRAJEDA WILLARD, LCSW

Active Sole Proprietor

Clinical Social Worker · SAN CLEMENTE, CA

Registration Details

NPI Number
1164896742
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2015 (10.439629456143 yrs)
Last Updated
Feb 15, 2025
License
115788 (CA)
Sole Proprietor
Yes

Practice Information

Address
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE, CA, 926723508
Browse CA providers · Browse ZIP 92672
Phone
7143943351
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAN CLEMENTE, CA

Name Credential NPI
MARY A NAIMIE LCSW 1487749115
CORA D RALL 1619179769
MS. MARLA BRENDA STONE LCSW 1144406364
HELENA MARIE MCLAIN LCSW 1366699001
MS. ILENE M. BLAISCH MSW, LSCW 1356584635
MRS. KATIE B MANN LCSW 1922334515
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.