Marilyn Raquel Mejia-Pena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24356 Issued in CA

Practice address

525 E 7TH St
Long Beach, CA 90813-4559

Phone

(562) 505-7866

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marilyn Raquel Mejia Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1437437720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134559",
            "telephone_number": "562-505-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134559",
            "telephone_number": "562-505-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-PENA",
        "first_name": "MARILYN",
        "middle_name": "RAQUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MEJIA",
            "middle_name": "RAQUEL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Weiping Sarah Wu Mei, M.D.
• Meier Clinics of California, Inc.
• Patricia Anne Meier, FNP
• Niettchy Noemi Meiselbach, NP
• Melissa Meissner, PT, DPT
• Alisia Mejia, R.N.,PHN.,IBCLC
• Beatrice A Mejia
• Elizabeth Amaris Mejia
• Ileen Mejia
• Joseline Mejia

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.

Verify at the official NPI Registry.