Debra Mendoza, ACSW
Individual provider Active NPI Clinical Social Worker · Acton, CA
NPI 1407213440 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1407213440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 30500 Arrastre Canyon Rd
Acton, CA 93510-2160 - Phone
- (661) 726-2850
- NPI assigned
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CA | Yes |
Addresses
Primary practice location
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Mailing address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone (661) 223-8755
Other providers in Acton, CA
- Kim Mancia
- Edwin Sales Martinez
- Carolyn Denise Weathers McManus
- Marina I McNutt
- Rachel Joy Mendez
- Mountain View Detox
- Maria Newell
- Katie O'Dell
- Palmerrx Inc
- Phillip Vincent Pinto
All providers in Acton, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.