Individual provider Active NPI

Leticia Cantor, LCSW

  • Clinical Social Worker
  • Mendota, CA
National Provider Identifier
1295176303
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114357 Issued in CA
Practice address
121 Belmont Ave
Mendota, CA 93640-8232
Phone
(855) 343-1057
NPI assigned
Jul 17, 2013
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 114357 CA Primary

Addresses

Primary practice location

121 Belmont Ave
Mendota, CA 93640-8232

Mailing address

121 Belmont Ave
Mendota, CA 93640-8232
Phone (855) 343-1057

Other practice location 1

2731 W Olive Ave
Fresno, CA 93728-2449
Phone (559) 233-5096

Other practice location 2

3400 McCall Ave Ste 104
Selma, CA 93662-2560
Phone (855) 343-1057

Other practice location 3

34, 36 & 40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (855) 343-1057 ext. 4353

Other practice location 4

275 S. Madera Ave
Ste 302, 403, & 404
Kerman, CA 93630
Phone (855) 343-1057

Other practice location 5

225 Academy Ave
Sanger, CA 93657-2128
Phone (855) 343-1057

Other practice location 6

36618 Lassen Ave Ste A
Huron, CA 93234
Phone (855) 343-1057

Other practice location 7

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 439-1534

Other practice location 8

1311 11th St
Reedley, CA 93654-2926
Phone (855) 343-1057

Other practice location 9

380 & 386 Coalinga Plaza
Coalinga, CA 93210
Phone (855) 343-1057

Other practice location 10

3636 N First Street
Ste 135, 154, 112 &124
Fresno, CA 93726-6800
Phone (559) 476-2166

Other practice location 11

1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519
Phone (855) 343-1057

Other practice location 12

258 N Blackstone Ave
Fresno, CA 93701-1913
Phone (559) 274-0299

Other practice location 13

3855 N West Ave
Ste 105, 108 &110
Fresno, CA 93705
Phone (559) 334-6433

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
I20240506004411 CA Practitioner - Clinical Social Worker 7911351002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Apr 9, 2024 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince May 1, 2025 Accepting new patients
Turning Point of Central California, Inc. Mental Health PastSince Mar 1, 2021 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients
Turning Point of Central California, Inc. Mental Health PastSince Sep 5, 2023 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients
Mood Clinical, P. C. PastSince Jun 15, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: leticia.cantor-lopez.1@17661.direct.athenahealth.com

Organizations & group practices 7

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1295176303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BELMONT AVE",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936408232",
            "telephone_number": "855-343-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELMONT AVE",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936408232",
            "telephone_number": "855-343-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2731 W Olive Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937282449",
            "country_code": "US",
            "telephone_number": "559-233-5096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 McCall Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622560",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34, 36 & 40 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "855-343-1057 x4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 S. Madera Ave",
            "address_2": "Ste 302, 403, & 404",
            "address_purpose": "LOCATION",
            "city": "Kerman",
            "state": "CA",
            "postal_code": "93630",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "936572128",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36618 Lassen Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-439-1534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 & 386 Coalinga Plaza",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "93210",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N First Street",
            "address_2": "Ste 135, 154, 112 &124",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266800",
            "country_code": "US",
            "telephone_number": "559-476-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 W Shaw Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113519",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011913",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 N West Ave",
            "address_2": "Ste 105, 108 &110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93705",
            "country_code": "US",
            "telephone_number": "559-334-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "LETICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota, CA

Sources for this page

Verify at the official NPI Registry.