Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Golden State Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1457165599

Golden State Licensed Clinical Social Worker Inc provides Clinical Social Worker services in LA Jolla, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3252 Holiday Ct Ste 102
LA Jolla, CA 92037-1807
Phone: (714) 222-7786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1457165599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanna Shafizadeh — Licensed Clinical Social Worker · (714) 222-7786
Other names Golden State Psychotherapy
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address3252 Holiday Ct Ste 102, La Jolla, CA 92037-1807

Other providers in LA Jolla