Mauricio Roberto Mariscal

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104540 Issued in CA

Practice address

1263 Mission St
San Francisco, CA 94103-2705

Phone

(415) 517-9626

NPI assigned

Oct 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of California San FranciscoGroup PAC ID 3678547304, 56 clinicians

Practice addresses (Care Compare)

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.

• University of California San Francisco

  dba UCSF SFGH CPG Psychiatry Program

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1104992817
  Medicare reassignment Care Compare group NPD
• UCSF Deaf Community Counseling Services

  dba UCSF Center on Deafness

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1285831727
  NPD
• University of California San Francisco

  • Psychiatric Hospital
  • San Francisco, CA
  • NPI 1407900095
  NPD

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1821548546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 MISSION ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032911",
            "telephone_number": "415-597-8000",
            "fax_number": "415-597-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032705",
            "telephone_number": "415-517-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125857",
            "country_code": "US",
            "telephone_number": "408-918-2618",
            "fax_number": "408-579-6143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARISCAL",
        "first_name": "MAURICIO",
        "middle_name": "ROBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW84470",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW104540",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark James Marion, LMFT
• John Dwight Maris, PHD
• Micaela Mariscal-Rocha, LCSW
• Elyssa Mariscal
• Gisela Mariscal
• Marissa Wang Dental Corporation (Marina Dental Care)
• Daniela Maristany
• Nicollette Sison Maristela
• Maritime Drumm Medical MGMT (Overseas Medical)
• Maritime Drumm Medical MGMT

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, 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 Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.