Organization Active NPI

Mental Wellness University, Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1770356677
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL WELLNESS UNIVERSITY, LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
9350 The Resort Pkwy Unit 7614
Rancho Cucamonga, CA 91730-9255
Phone
(909) 776-7333
Fax
(909) 697-2730
NPI assigned
Nov 2, 2023
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Lauresha Zinatae Hawkins, LCSWNPI 1972936185
Title
Ceo/LCSW
Phone
(909) 776-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9350 The Resort Pkwy Unit 7614
Rancho Cucamonga, CA 91730-9255

Mailing address

11819 Foothill Blvd Ste B PMB 343
Rancho Cucamonga, CA 91730-9255
Phone (909) 776-7333

National Provider Directory

National Provider Directory

Locations

11819 Foothill Blvd
Ste B
Rancho Cucamonga, CA 91730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1770356677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 FOOTHILL BLVD STE B PMB 343",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309255",
            "telephone_number": "909-776-7333",
            "fax_number": "909-697-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 THE RESORT PKWY UNIT 7614",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309255",
            "telephone_number": "909-776-7333",
            "fax_number": "909-697-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS UNIVERSITY, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LAURESHA",
        "authorized_official_middle_name": "ZINATAE",
        "authorized_official_title_or_position": "CEO/LCSW",
        "authorized_official_telephone_number": "909-776-7333",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.