Individual provider Active NPI

Delmy Mendoza, LCSW

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1144509449
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64881 Issued in CA
Practice address
13112 Hadley St Ste 108
Whittier, CA 90601-4583
Phone
(562) 646-8516
Fax
(562) 309-8631
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 28494 CA
Clinical Social Worker 1041C0700X 64881 CA Primary

Addresses

Primary practice location

13112 Hadley St Ste 108
Whittier, CA 90601-4583

Mailing address

13112 Hadley St Ste 108
Whittier, CA 90601-4583
Phone (562) 646-8516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925001895 CA Practitioner - Clinical Social Worker 4183078249 Practice locations: Whittier, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13420 Hadley St
Whittier, CA 90601-4623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28494CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hadley House Counseling, Licensed Clinical Social Worker, PC Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

6503 Greenleaf Ave
Ste C
Whittier, CA 90601
Phone (562) 646-8516

13112 Hadley St
Ste 108
Whittier, CA 90601
Phone (562) 646-8516

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1144509449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 HADLEY ST STE 108",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014583",
            "telephone_number": "562-646-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 HADLEY ST STE 108",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014583",
            "telephone_number": "562-646-8516",
            "fax_number": "562-309-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DELMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-11-06",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "28494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.