Maureen Theresa Mina, ASW 75589

Primary specialty

Social WorkerTaxonomy code 104100000X

License

75589 Issued in CA

Practice address

116 Agnes Ave
Santa Maria, CA 93458-2838

Phone

(805) 457-3789

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Telecare Corporation

  • Psychiatric Residential Treatment Facility
  • Santa Maria, CA
  • NPI 1245897354
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1174709356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-212-7680",
            "fax_number": "805-728-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AGNES AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582838",
            "telephone_number": "805-457-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Carmen Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934587771",
            "country_code": "US",
            "telephone_number": "805-212-7680",
            "fax_number": "805-729-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINA",
        "first_name": "MAUREEN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "ASW 75589",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "75589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE CORPORATION AGNES AVENUE",
            "identifier": "1205480563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Curtis Miller, D.C.
• Samuel Dean Miller IV, D.O.
• Wayne Robert Miller, D.C.
• Maria Millsaps
• Khriscel Mina
• Doni-Jo Minor-Munro
• Linda Platt Mintz, AMFT
• Jennifer Lynn Mira
• Miracle-Ear, Inc.
• Marissa Miramontes

• Social Worker in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.