Active NPI
Matthew Steven Mollenhauer, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1861962235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW103794
- Practice address
- 3415 S Sepulveda Blvd FL 11
Los Angeles, CA 90034-6060 - Phone
- (530) 672-1785
- NPI assigned
- Nov 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ASW85762 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW103794 | CA | Primary |
Addresses
Primary practice location
3415 S Sepulveda Blvd FL 11
Los Angeles, CA 90034-6060
Mailing address
8844 Fargo LN
Granite Bay, CA 95746-9671
Phone (530) 391-7491
Other practice location 1
982 Mission St
San Francisco, CA 94103-2911
Phone (415) 597-8072
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 |
|---|---|---|---|
| ASW85762 | CA | MD | Counselor |
| LCSW103794 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1861962235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8844 FARGO LN",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957469671",
"telephone_number": "530-391-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 S SEPULVEDA BLVD FL 11",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346060",
"telephone_number": "530-672-1785"
}
],
"practiceLocations": [
{
"address_1": "982 Mission St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941032911",
"country_code": "US",
"telephone_number": "415-597-8072",
"fax_number": "415-597-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLENHAUER",
"first_name": "MATTHEW",
"middle_name": "STEVEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-28",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW85762",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW103794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.