Provider Demographics
NPI:1740615327
Name:NAJIBI, ALI SAYED (MSW, LICSWA)
Entity Type:Individual
Prefix:MR
First Name:ALI
Middle Name:SAYED
Last Name:NAJIBI
Suffix:
Gender:M
Credentials:MSW, LICSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BEACH RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-6709
Mailing Address - Country:US
Mailing Address - Phone:510-786-8515
Mailing Address - Fax:
Practice Address - Street 1:219 BEACH RD
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-6709
Practice Address - Country:US
Practice Address - Phone:510-786-8515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1588080626Medicaid