Active NPI
Victoria Roque Mensalvas, LCSW
- Clinical Social Worker
- Oceanside, CA
National Provider Identifier
1457994915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW28701
- Practice address
- 4995 Corte Santico
Oceanside, CA 92056-6960 - Phone
- (760) 583-2890
- NPI assigned
- Oct 28, 2019
- Last updated
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW28701 | CA | Primary |
Addresses
Primary practice location
4995 Corte Santico
Oceanside, CA 92056-6960
Mailing address
PO Box 5343
Oceanside, CA 92052-5343
Phone (760) 583-2890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW28701 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1457994915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5343",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920525343",
"telephone_number": "760-583-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 CORTE SANTICO",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566960",
"telephone_number": "760-583-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSALVAS",
"first_name": "VICTORIA",
"middle_name": "ROQUE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW28701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
- Enrique Mendoza, DPT
- Hermila Mendoza
- Johnathan Julio Mendoza
- Basty A Menjivar, M.S.
- Julie Mennen, PH.D.
- Mental Health Systems, Inc. (Family Recovery Center)
- Mental Health Systems, Inc. (North Coastal Behavioral Health Clinic)
- Mental Health Systems, Inc. (North Coastal ACT)
- Mental Health Systems, Inc. (Mariposa Clubhouse)
- Lyneth Andres Mercado, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.