Active NPI
Sigrid Mergenthaler, LICSW
- Clinical Social Worker
- San Marcos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW123604
- Practice address
- 150 Valpreda Rd
San Marcos, CA 92069-2973 - Phone
- (760) 736-6767
- NPI assigned
- Jun 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114737 | MA | |
| Clinical Social Worker | 1041C0700X | LCSW123604 | CA | Primary |
Addresses
Primary practice location
150 Valpreda Rd
San Marcos, CA 92069-2973
Mailing address
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (760) 736-6767
Other practice location 1
400 Washington St
303
Braintree, MA 02184-4729
Phone (781) 843-3783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309161 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (619) 736-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW123604 | CA | MD | Clinical Social Worker |
| 114737 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| Northeast Health Services, LLC | Current | Accepting new patients |
Locations
1675 N Perris Blvd
Ste G1
Perris, CA 92571
Phone (730) 736-6700
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1417321746
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1477759017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 VALPREDA RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692973",
"telephone_number": "760-736-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 VALPREDA RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692973",
"telephone_number": "760-736-6767"
}
],
"practiceLocations": [
{
"address_1": "400 Washington St",
"address_2": "303",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021844729",
"country_code": "US",
"telephone_number": "781-843-3783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERGENTHALER",
"first_name": "SIGRID",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114737",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW123604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1309161",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.