Maureen Ann Lavengood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS5138 Issued in CA

Practice address

299 12TH St Ste B
Marina, CA 93933-6003

Phone

(831) 883-3030

Fax

(831) 883-3032

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1265920235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 12TH ST STE B",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336003",
            "telephone_number": "831-883-3030",
            "fax_number": "831-883-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 12TH ST STE B",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336003",
            "telephone_number": "831-883-3030",
            "fax_number": "831-883-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENGOOD",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kurtmen, M.D.
• La Cura Collective Corp.
• Sara Lama
• Kendal Lardie
• Lisa Renee Lasalle, CCC-SLP, BRFS
• Al Lavilla, D.D.S.
• Andrea Lazaro-Castro
• Phikhanh Thi Le, LCSW
• Emily Villanueva Lealao, BA
• Agnieszka Lech, MD

• Clinical Social Worker in Marina, CA
• Providers in Marina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.