Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Empowered Vida Therapy

Organization Clinical Social Worker · NPI 1003680711

Empowered Vida Therapy is a Clinical Social Worker in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3108 Fifth Ave Ste E
San Diego, CA 92103-5829
Phone: (858) 707-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1003680711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paola Berg — Therapist · (858) 707-5148
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address3108 Fifth Ave Ste E, San Diego, CA 92103-5829

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