Active NPI
Manon Comendant, LCSW
- Clinical Social Worker
- Dublin, CA
National Provider Identifier
1174624050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS22261
- Practice address
- 7080 Donlon Way
Suite 118
Dublin, CA 94568-2787 - Phone
- (925) 872-5843
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS22261 | CA | Primary |
Addresses
Primary practice location
7080 Donlon Way
Suite 118
Dublin, CA 94568-2787
Mailing address
3368 Smoketree Commons
Pleasanton, CA 94566-7961
Phone (925) 872-5843
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160822 | Other | CA | COMPSYCH |
| LCS222610 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 1330487 | Other | CA | COMPSYCH |
| CSW222610 | Medicaid | CA | |
| 417285 | Other | KY | MENTAL HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS22261 | CA | MD | Clinical Social Worker |
| 22261 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218240000000",
"number": "1174624050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 SMOKETREE COMMONS",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667961",
"telephone_number": "925-872-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 DONLON WAY",
"address_2": "SUITE 118",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682787",
"telephone_number": "925-872-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMENDANT",
"first_name": "MANON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2008-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS22261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "2160822",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "LCS222610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "1330487",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CSW222610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "417285",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.