Individual provider Active NPI

Maria Lourdes Mieses

  • Social Worker
  • San Jose, CA
National Provider Identifier
1336517325
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW68242 Issued in CA
Practice address
342 Greendale Way Apt 1
San Jose, CA 95129-1517
Phone
(408) 680-1815
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW68242 CA Primary

Addresses

Primary practice location

342 Greendale Way Apt 1
San Jose, CA 95129-1517

Mailing address

342 Greendale Way Apt 1
San Jose, CA 95129-1517
Phone (408) 680-1815

Other names 1

  • Lourdes Mieses Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW68242CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1336517325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 GREENDALE WAY APT 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291517",
            "telephone_number": "408-680-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 GREENDALE WAY APT 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291517",
            "telephone_number": "408-680-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESES",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW68242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "MIESES",
            "credential": "M.S.W., A.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.