IndividualActive
Ketzia Escudero
NPI 1053930396 · Social Worker · Fairfield, CA
Provider details
- NPI number
- 1053930396
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 116623 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 Empire St
Fairfield, CA 94533-5702
Phone: (707) 425-5744
Fax: (707) 425-5162
Street-level locationGet directions
Mailing address
801 Empire St
Fairfield, CA 94533-5702
Additional practice locations (3)
- 2325 Clement Ave Ste aAlameda, CA 94501-7061Phone: (510) 629-6300
- 3480 Buskirk Ave Ste 210Pleasant Hill, CA 94523-4304Phone: (925) 933-2627
- 205 39th StRichmond, CA 94805-2212Phone: (510) 415-5930
Registry dates
- Enumerated
- 2020-04-15
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.