OrganizationActive
Sd Zen Licensed Clinical Social Worker Professional Corporation
NPI 1306635404 · Clinical Social Worker · San Diego, CA
Provider details
- NPI number
- 1306635404
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alexander Petro, Clinical Manager(818) 414-4610
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
8885 Rio San Diego Dr Ste 237
San Diego, CA 92108-1661
Phone: (619) 363-1921
Street-level locationGet directions
Mailing address
3245 University Ave Ste 1
San Diego, CA 92104-2009
Other names (DBA / former)
- Doing business as
- Sd Zen
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.