Jennifer R Mauceri, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71179 Issued in CA

Practice address

6200 Canoga Ave Ste 210
Woodland Hills, CA 91367-7794

Phone

(646) 694-2434

Fax

(818) 350-2988

NPI assigned

Apr 1, 2010

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intuitive Psychotherapy Associates, Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Woodland Hills, CA
  • NPI 1215495551
  Authorized official Same address or phone
• Dymphna Psychiatric Nursing & Wellness, PC

  dba Elevate Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1851093256
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1538484670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677794",
            "telephone_number": "646-694-2434",
            "fax_number": "818-350-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677794",
            "telephone_number": "646-694-2434",
            "fax_number": "818-350-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCERI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077449",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bernstein Chiropractic Professional Corporation
• Matthew R Alpert OD
• Emily Lizbeth Matthews, MFT
• Tashiya Matthis
• Anthony Ralph Mauceri, MA
• Bonnie Deanne Maxfield, MD
• Marion Elizabeth May I, SLP
• Karen Lizett Mayorga
• Lena Linda Mazmanyan, PHARMD
• Connor McCarron

• Clinical Social Worker in Woodland Hills, CA
• Providers in Woodland Hills, 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 Apr 24, 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.

Verify at the official NPI Registry.