Mariela Colmenero

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1286 78TH Ave
Oakland, CA 94621-2604

Phone

(510) 846-4009

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mariela Colmenero Professional name

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.

• East Bay Agency for Children

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1902231301
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1326541749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 78TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212604",
            "telephone_number": "510-846-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 78TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212604",
            "telephone_number": "510-846-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 81st Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212455",
            "country_code": "US",
            "telephone_number": "510-227-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLMENERO",
        "first_name": "MARIELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELA",
            "last_name": "COLMENERO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sofia Helene Collins, LMFT
• Willie Macarthur Collins, PHYSICIAN ASSISTANT
• Zoe Collins, PSYD
• Kelly Collyer, PSYD
• Lee Perry Collyer
• Andrea Colombu, LMFT
• April Colombu, MFT1 #60833
• Tania Colon
• Denise Colovas, LMFT
• Tashiana Colston

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, 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 Jun 1, 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.