Individual provider Active NPI

Ana Luz Mendez Valencia, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1376090787
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105032 Issued in CA
Practice address
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone
(661) 868-1863
Fax
(661) 868-1755
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 84518 CA
Clinical Social Worker 1041C0700X 105032 CA Primary

Addresses

Primary practice location

2525 N Chester Ave
Bakersfield, CA 93308-1770

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-1863

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
I20221115002057 CA Practitioner - Clinical Social Worker 2961870431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84518CAMDSocial Worker
105032CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Social Worker Current Accepting new patients
County of Kern Social Worker CurrentSince Jul 19, 2022 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1376090787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-868-1863",
            "fax_number": "661-868-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081770",
            "telephone_number": "661-868-1863",
            "fax_number": "661-868-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ VALENCIA",
        "first_name": "ANA",
        "middle_name": "LUZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "84518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.