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

Individual provider Mental Health Counselor · NPI 1255067880

Nour Moataz Elgezawi, ACSW is a Clinical Social Worker in El Cajon, California. Qualified in 2022, 4 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

875 El Cajon Blvd
El Cajon, CA 92020-5714
Phone: (619) 662-4100
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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 · Licence 109173 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 109173
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1255067880
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESApril 18, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Cajon