Debbie Mancillas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20386 Issued in CA

Practice address

7828 Haven Ave Ste 212
Rancho Cucamonga, CA 91730-3049

Phone

(909) 727-7207

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1093450686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 CAMINO DE ESTRELLA",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241600",
            "telephone_number": "714-420-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 HAVEN AVE STE 212",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303049",
            "telephone_number": "909-727-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCILLAS",
        "first_name": "DEBBIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Arwin Osio Manalo
• Sepehr Josh Manavi, M.D.
• Evelyn Mancha
• Ramon Mancha
• Olivia Manchego
• Khal Liam Mancini, D.D.S
• Edith Mandujano
• Mane of Your Dream
• Adeline Manese
• Patricia Mangum

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.