Individual provider Active NPI

Sheila Maria Mendoza-Cordero, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1215521943
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW98332 Issued in CA
Practice address
658 E Brier Dr Ste 300
San Bernardino, CA 92408-2847
Phone
(909) 421-9233
Fax
(909) 501-0833
NPI assigned
Feb 23, 2021
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 LCSW98332 CA Primary

Addresses

Primary practice location

658 E Brier Dr Ste 300
San Bernardino, CA 92408-2847

Mailing address

658 E Brier Dr Ste 300
San Bernardino, CA 92408-2847
Phone (909) 421-9233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheila@healthymindandbraincenter.org Other

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

LicenseStateTypeSpecialty
LCSW98332CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind & Brain Center Licensed Clinical Social Worker in. Current Accepting new patients

Locations

16195 Siskiyou Rd
Ste 120B
Apple Valley, CA 92307
Phone (760) 523-2140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1215521943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082847",
            "telephone_number": "909-421-9233",
            "fax_number": "909-501-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082847",
            "telephone_number": "909-421-9233",
            "fax_number": "909-501-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-CORDERO",
        "first_name": "SHEILA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW98332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheila@healthymindandbraincenter.org",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication by email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails",
            "address_1": "16195 Siskiyou Rd Ste 120B",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.