Marlyn Sepulveda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61921 Issued in CA

Practice address

3737 Marconi Ave
Sacramento, CA 95821-5303

Phone

(916) 480-1801

Fax

(916) 480-1809

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• TLCS, Inc.

  • Respite Care
  • Sacramento, CA
  • NPI 1528938420
  NPD Authorized official
• Human Resources Consultants, Inc

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1891878674
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1669674776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE BLDG 400-A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254731",
            "telephone_number": "916-441-0123",
            "fax_number": "916-480-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215303",
            "telephone_number": "916-480-1801",
            "fax_number": "916-480-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "MARLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "61921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarvenaz Sepehri, PSY.D.
• Lora D Sepulona
• Brenna Sepulveda
• Darlene Amber Sepulveda, MHAIII
• Jessica Nayeli Sepulveda
• Monica Roman Sepulveda
• Seraphic Wellness Center, Incorporation
• Scott Louie Serbas
• Christian L. Serdahl, M.D.
• Sannaporn Sereevinyayut, MD

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 Sep 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.