Active NPI
Marylou McLeod
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1386060762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107666
- Practice address
- 100 W 1St St FL 6
Los Angeles, CA 90012-4112 - Phone
- (213) 972-7000
- NPI assigned
- Mar 10, 2014
- Last updated
- Jan 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107666 | CA | Primary |
Addresses
Primary practice location
100 W 1St St FL 6
Los Angeles, CA 90012-4112
Mailing address
100 W 1St St FL 6
Los Angeles, CA 90012-4112
Other practice location 1
510 S Vermont Ave
Los Angeles, CA 90020-1912
Phone (213) 972-7000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220801001693 | CA | Practitioner - Clinical Social Worker | 0648652180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107666 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness & Equity Foundation Inc. | Current | Accepting new patients |
Locations
969 E 12th St
Ste D
Los Angeles, CA 90021
Phone (408) 341-9606
160 N Luring Dr
Ste D
Palm Springs, CA 92262
Phone (408) 341-9606
Organizations & group practices 1
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": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1386060762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 1ST ST FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 1ST ST FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124112",
"telephone_number": "213-972-7000"
}
],
"practiceLocations": [
{
"address_1": "510 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201912",
"country_code": "US",
"telephone_number": "213-972-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEOD",
"first_name": "MARYLOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "107666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.