IndividualActive
Moukdavanh Siackasorn
NPI 1477098333 · Clinical Social Worker · Pittsburg, CA
Moukdavanh Siackasorn is a Clinical Social Worker provider in Pittsburg, CA (NPI 1477098333).
Provider details
- NPI number
- 1477098333
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 94227 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs 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
2311 Loveridge Rd
Pittsburg, CA 94565-5117
Phone: (925) 431-2654
Fax: (925) 431-2644
Street-level locationGet directions
Mailing address
2311 Loveridge Rd
Pittsburg, CA 94565-5117
Registry dates
- Enumerated
- 2017-01-03
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Frequently asked questions
- What is Moukdavanh Siackasorn's NPI number?
- Moukdavanh Siackasorn's National Provider Identifier (NPI) is 1477098333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Moukdavanh Siackasorn's specialty?
- Moukdavanh Siackasorn is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Moukdavanh Siackasorn located?
- Moukdavanh Siackasorn's practice location on file with NPPES is 2311 Loveridge Rd, Pittsburg, CA 94565-5117.
- What is Moukdavanh Siackasorn's phone number?
- The practice phone number listed in the NPPES registry for Moukdavanh Siackasorn is (925) 431-2654.
- Is Moukdavanh Siackasorn's NPI active?
- Yes — Moukdavanh Siackasorn's NPI (1477098333) is active in the NPPES registry as of the last update on 2020-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.