Individual provider Active NPI

Stephanie Mushrush, LCSW

  • Clinical Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1942582283
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76738 Issued in CA
Practice address
10330 Pioneer Blvd Ste 215
Santa Fe Springs, CA 90670-8277
Phone
(562) 402-0677
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 76738 CA Primary

Addresses

Primary practice location

10330 Pioneer Blvd Ste 215
Santa Fe Springs, CA 90670-8277

Mailing address

10330 Pioneer Blvd Ste 215
Santa Fe Springs, CA 90670-8277
Phone (562) 402-0677

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221005003441 CA Practitioner - Clinical Social Worker 7618353137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Angeles County Department of Mental HealthGroup PAC ID 7416869896, 294 clinicians

Practice addresses (Care Compare)

17707 Studebaker Rd
Cerritos, CA 90703-2640
Phone (562) 402-0677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76738CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 11, 2022 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 11, 2022 Accepting new patients
Indigenous Circle of Wellness; Individual, Couple, Family Counseling PastSince Dec 1, 2020 Accepting new patients
Los Angeles County Department of Mental Health Past Accepting new patients
Los Angeles County Department of Mental Health Past Accepting new patients

Locations

17707 Studebaker Rd
Cerritos, CA 90703
Phone (562) 402-0688

17707 Studebaker Rd
Ste 208
Cerritos, CA 90703
Phone (562) 402-0677

17707 Studebaker Rd
#208
Cerritos, CA 90703
Phone (562) 402-0677

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1942582283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 PIONEER BLVD STE 215",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906708277",
            "telephone_number": "562-402-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 PIONEER BLVD STE 215",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906708277",
            "telephone_number": "562-402-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHRUSH",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.