PURPOSE DRIVEN ADULT SERVICES INC NPI 1417661695

NPI Information

  • NPI: 1417661695
  • Provider Name: PURPOSE DRIVEN ADULT SERVICES, INC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 4010 MOORPARK AVE STE 118
    SAN JOSE, CA
    ZIP 95117
  • Phone: (510) 474-9952

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NPI Details

PURPOSE DRIVEN ADULT SERVICES, INC is a clinical social worker in San Jose, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PURPOSE DRIVEN ADULT SERVICES, INC NPI is 1417661695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4010 MOORPARK AVE STE 118
SAN JOSE, CA
ZIP 95117-804
Phone: (510) 474-9952
Fax: (510) 217-4243

The provider's authorized official is Ayana Lee Paxton .
The authorized official title is President and has the following contact phone number (510) 474-9952.

The enumeration date for this NPI number is 1/11/2023 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11891268538MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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