Individual provider Active NPI

Mabel Lomeli, LCSW115844

  • Clinical Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1841543642
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW115844
Practice address
11731 Telegraph Rd Ste E
Santa Fe Springs, CA 90670
Phone
(562) 942-8256
Fax
(562) 949-3587
NPI assigned
Oct 18, 2012
Reactivated
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Mental Health Counselor 101YM0800X ASW84087 CA
Clinical Social Worker 1041C0700X LCSW115844 Primary

Addresses

Primary practice location

11731 Telegraph Rd Ste E
Santa Fe Springs, CA 90670

Mailing address

11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6821
Phone (562) 942-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW84087CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1841543642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 TELEGRAPH RD STE K",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706821",
            "telephone_number": "562-942-8256",
            "fax_number": "562-949-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11731 TELEGRAPH RD STE E",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "90670",
            "telephone_number": "562-942-8256",
            "fax_number": "562-949-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMELI",
        "first_name": "MABEL",
        "credential": "LCSW115844",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "deactivation_date": "2018-07-31",
        "reactivation_date": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW84087",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LCSW115844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.