Resilient Restoration LLC · Clinical Social Worker

11789 Fantasia Ct, San Diego, CA 92131-3814

Overview

Resilient Restoration LLC is a Clinical Social Worker (organization) practicing in San Diego, California. The National Provider Identifier (NPI) is #1487597712, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 11789 Fantasia Ct, San Diego, CA 92131-3814; the contact telephone number is 6199448088. The primary taxonomy of Resilient Restoration LLC is Clinical Social Worker (1041C0700X), with specialization in Clinical. The authorized official for Resilient Restoration LLC is Tiffany Callaway (Owner).

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.

Provider Information

NPI 1487597712
Entity Type Organization
Organization Name RESILIENT RESTORATION LLC
Provider Name RESILIENT RESTORATION LLC
Practice Address 11789 Fantasia Ct
San Diego
CA 92131-3814
Practice Telephone 6199448088
Mailing Address 3300 Arctic Blvd Ste 201
Anchorage
AK 99503-4579
Certification Date 2026-04-11
Enumeration Date 2026-04-11
Last Update Date 2026-04-11
Is Organization Subpart N

Authorized Official Information

Official Name TIFFANY CALLAWAY
Official Title OWNER
Credential LCSW
Telephone 6199448088

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Provider NameAddressTaxonomyEnumeration Date
The Life Center Complex, Inc 713 E Basin Rd, New Castle, DE 19720-4201Clinical Social Worker2026-04-11
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Siyad Ali Sahal 6324 Lyndale Ave S Unit 304, Richfield, MN 55423-7538Clinical Social Worker2026-04-11
Stephanie Kay Brown 185 N Vernal Ave Ste 1, Vernal, UT 84078-2100Clinical Social Worker2026-04-11
Victoria L Oothoudt 200 Ne 54th St Ste 205, Kansas City, MO 64118-4389Clinical Social Worker2026-04-11
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Jena Melissa Brook 423 15th St Apt 3a, Brooklyn, NY 11215-5739Clinical Social Worker2026-04-11
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Location Information

Street Address 11789 FANTASIA CT
City SAN DIEGO
State CA
Zip Code 92131-3814
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Rooted & Resilient Marriage & Family Therapy, PC 9820 Willow Creek Rd Ste 245, San Diego, CA 92131-1116Marriage & Family Therapist2026-03-12
Joanne M. Hamilton Psychologist A Professional Corporation 9968 Hibert St Ste 105, San Diego, CA 92131-1036Clinical Neuropsychologist2007-07-08
Daisy Montoya 9855 Erma Rd Ste 133, San Diego, CA 92131-1092Clinical Social Worker2023-08-04
Mindful Moves Speech-Language Pathologist 10635 Loire Ave, San Diego, CA 92131Speech-Language Pathologist2025-08-06
Rowi North Orange LLC 9810 Scripps Lake Dr Ste A, San Diego, CA 92131-1009Adolescent and Children Mental Health Clinic/Center2025-04-25
Kurated Care Psychological Services, PC 10620 Treena St Ste 230, San Diego, CA 92131-1140Cognitive & Behavioral Psychologist2025-12-12
Mission Occupational and Hand Therapy Services Apc 9968 Hibert St Ste 101, San Diego, CA 92131-1036Physical Rehabilitation Occupational Therapist2020-11-22
Laurence R Saben Md A Professional Corporation 9939 Hibert St Ste 204, San Diego, CA 92131-1031Psychiatry Physician2007-06-26
Lena Chung 9855 Erma Rd Ste 133, San Diego, CA 92131-1092Registered Nurse2016-04-28
Luis Munoz Mercado 9968 Hibert St Ste 101, San Diego, CA 92131-1036Physical Therapist2025-11-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.