Individual provider Active NPI

Gladys Mazariegos, LCSW

  • School Social Worker
  • Sunnyvale, CA
National Provider Identifier
1699539650
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
81038 Issued in CA
Practice address
777 San Miguel Ave
Sunnyvale, CA 94085-3411
Phone
(408) 522-8278
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 81038 CA Primary

Addresses

Primary practice location

777 San Miguel Ave
Sunnyvale, CA 94085-3411

Mailing address

777 San Miguel Ave
Sunnyvale, CA 94085-3411

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

LicenseStateTypeSpecialty
81038CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince May 4, 2025 Accepting new patients

Locations

777 San Miguel Ave
Sunnyvale, CA 94085
Phone (408) 522-8278

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1699539650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SAN MIGUEL AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SAN MIGUEL AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853411",
            "telephone_number": "408-522-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZARIEGOS",
        "first_name": "GLADYS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "81038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.