Individual provider Active NPI

Mazaira Lennon, L.C.S.W

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1184895799
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67606 Issued in CA
Practice address
2220 E Palmdale Blvd
#900473
Palmdale, CA 93590-6500
Phone
(661) 480-8705
NPI assigned
Mar 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67606 CA Primary

Addresses

Primary practice location

2220 E Palmdale Blvd
#900473
Palmdale, CA 93590-6500

Mailing address

2220 E Palmdale Blvd
#900473
Palmdale, CA 93590-6500

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
I20210325002710 CA Practitioner - Clinical Social Worker 5597172155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67606CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Clinical CurrentSince Mar 11, 2021 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Mar 11, 2021 Accepting new patients

Locations

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1184895799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E PALMDALE BLVD",
            "address_2": "#900473",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935906500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E PALMDALE BLVD",
            "address_2": "#900473",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935906500",
            "telephone_number": "661-480-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "MAZAIRA",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "67606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.