Mauricio Mairena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16414 Issued in AZ

Practice address

1680 W Iron Springs Rd Ste 101a
Prescott, AZ 86305-3313

Phone

(949) 231-9619

NPI assigned

Jan 30, 2007

Sex

Male

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

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 and National Provider Directory roles.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Westminster, CA
  • NPI 1467604041
  NPD (past)
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1740326180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "949-231-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD STE 101A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "949-231-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRENA",
        "first_name": "MAURICIO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "66078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mahan, RDH
• Eileen Frances Mahler, FNP
• Joseph Paul Maidl, P.A.-C
• Sean Anthony Maiolo, MD
• James Joseph Maiorana, DPT
• Ana Christina Malachowski, L.M.T, M.M.P,
• Paul M Malczak, DO
• Thad Malik
• Mallaro Anesthesia LLC
• Victoria Marie Maneely, CPHT

• Clinical Social Worker in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.