Active NPI
Mai Lee Thao, ASW
- Clinical Social Worker
- Merced, CA
National Provider Identifier
1881078434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW60157
- Practice address
- 301 E 13TH St
Merced, CA 95341-6211 - Phone
- (209) 381-6800
- Fax
- (209) 725-3676
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ASW60157 | CA | |
| Mental Health Counselor | 101YM0800X | ASW60157 | CA | |
| Clinical Social Worker | 1041C0700X | ASW60157 | CA | Primary |
Addresses
Primary practice location
301 E 13TH St
Merced, CA 95341-6211
Mailing address
301 E 13TH St
Merced, CA 95341-6211
Phone (209) 381-6800
Other practice location 1
1955 Cordelia Dr
Atwater, CA 95301-5301
Phone (209) 617-7485
Other practice location 2
3360 N Highway 59 Ste K
Merced, CA 95348
Phone (209) 726-3090
Other practice location 3
3360 N Highway 59 Ste K
Merced, CA 95348
Phone (209) 726-3090
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 |
|---|---|---|---|
| ASW60157 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1881078434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-381-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-381-6800",
"fax_number": "209-725-3676"
}
],
"practiceLocations": [
{
"address_1": "1955 Cordelia Dr",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953015301",
"country_code": "US",
"telephone_number": "209-617-7485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3360 N Highway 59 Ste K",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "95348",
"country_code": "US",
"telephone_number": "209-726-3090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3360 N Highway 59 Ste K",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "95348",
"country_code": "US",
"telephone_number": "209-726-3090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAO",
"first_name": "MAI",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW60157",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW60157",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW60157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.