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

Shaheen Reza Modir

Individual provider Clinical Social Worker · NPI 1578065470

Shaheen Reza Modir is a Clinical Social Worker in Orange, California. Qualified in 2017, 9 years ago. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504
Phone: (714) 834-3032
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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 114786 (CA)

Record details

NPI number1578065470
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address4000 W Metropolitan Dr Ste 405, Orange, CA 92868-3504

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Orange