Jessica Mendoza Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114355 Issued in CA

Practice address

5867 Cerritos Ave
Long Beach, CA 90805-4122

Phone

(562) 355-5596

NPI assigned

Mar 28, 2023

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

Other names 1

• Jessica Mendoza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1760186423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5867 CERRITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054122",
            "telephone_number": "562-355-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 CERRITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054122",
            "telephone_number": "562-355-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "MENDOZA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MENDOZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gigi Thomas, M.D.
• Gregory S Thomas, M.D.
• Jacob Thomas
• Jacqueline Thomas
• Jacqueline Sue Thomas, LVN
• Jill Michelle Thomas, FNP-BC
• John Wix Thomas III, MD ENT
• Kaitlyn Ann Thomas
• Keisha May Thomas
• Kene Joi Thomas

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, 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 Mar 28, 2023; 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.