Active NPI
Mario Manuel Venegas, LCSW
- Clinical Social Worker
- Bakersfield, CA
National Provider Identifier
1760935803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69757
- Practice address
- 2621 Oswell St Ste 119
Bakersfield, CA 93306-3172 - Phone
- (661) 868-6751
- Fax
- (661) 872-6751
- NPI assigned
- Jul 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 69757 | CA | Primary |
Addresses
Primary practice location
2621 Oswell St Ste 119
Bakersfield, CA 93306-3172
Mailing address
PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-6947
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69757 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1760935803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021000",
"telephone_number": "661-868-6947",
"fax_number": "661-872-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 OSWELL ST STE 119",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933063172",
"telephone_number": "661-868-6751",
"fax_number": "661-872-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEGAS",
"first_name": "MARIO",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "69757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.