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

Mia Grajeda Willard, LCSW

Individual provider Clinical Social Worker · NPI 1164896742

Mia Grajeda Willard, LCSW is a Clinical Social Worker in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3551 Camino Mira Costa Ste T
San Clemente, CA 92672-3508
Phone: (714) 394-3351
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115788 (CA)

Record details

NPI number1164896742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 19, 2015
Last updated in NPPESFebruary 15, 2025
Certification dateFebruary 15, 2025

Other providers in San Clemente