Organization Active NPI

Central Coast Emotional Wellness Licensed Clinical Social Worker

Doing business as Central Coast Emotional Wellness

  • Clinical Social Worker
  • Santa Maria, CA
National Provider Identifier
1417759788
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTRAL COAST EMOTIONAL WELLNESS LICENSED CLINICAL SOCIAL WORKER
Doing business as
Central Coast Emotional Wellness
Practice address
616 E Chapel St
Santa Maria, CA 93454-4522
Phone
(805) 400-3721
Fax
(805) 614-7126
NPI assigned
Mar 26, 2025
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Gizelle Mendoza, LCSWNPI 1972696441
Title
President
Phone
(805) 400-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

616 E Chapel St
Santa Maria, CA 93454-4522

Mailing address

616 E Chapel St
Santa Maria, CA 93454-4522
Phone (805) 400-3721

Other names 1

  • Central Coast Emotional Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

201 S Miller St
Ste 107
Santa Maria, CA 93454
Phone (805) 215-4261

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1417759788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544522",
            "telephone_number": "805-400-3721",
            "fax_number": "805-614-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544522",
            "telephone_number": "805-400-3721",
            "fax_number": "805-614-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST EMOTIONAL WELLNESS LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "GIZELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-400-3721",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Emotional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.