Nancy Mendoza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105870 Issued in CA

Practice address

299 12TH St
Suite a
Marina, CA 93933

Phone

(831) 647-7652

NPI assigned

Jan 30, 2015

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment
• County of Monterey Behavioral Health

  dba Csoc Fast

  • Clinical Child & Adolescent Psychologist
  • Salinas, CA
  • NPI 1073645586
  NPD
• County of Monterey Behavioral Health

  dba MCHD-MH Div- Salinas Outpatient Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1619009123
  NPD
• County of Monterey Behavioral Health

  dba Soledad Clinic

  • Community/Behavioral Health Agency
  • Soledad, CA
  • NPI 1851736102
  NPD

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1942690896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 BUNKER HILL WAY STE 120",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066006",
            "telephone_number": "831-755-4545",
            "fax_number": "831-755-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 12TH ST",
            "address_2": "SUITE A",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "93933",
            "telephone_number": "831-647-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "84306",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa McKeehan, RN
• Mina Megallaa, PHARMD
• Isamar Rodriguez Mendez
• Diana Mendoza
• Megan Mendoza
• Gabrielle Messina
• Messinger Care Home
• Danni Stephanie Mestaz, MSW
• Kenna Marie Meuers
• Diana Midkiff

• Clinical Social Worker in Marina, CA
• Providers in Marina, 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 Jul 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.