Active NPI
Marcella Marie Mendez, LCSW
- Clinical Social Worker
- Whittier, CA
National Provider Identifier
1982736153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS19984
- Practice address
- 10155 Colima Rd
Whittier, CA 90603-2042 - Phone
- (562) 692-0383
- NPI assigned
- Mar 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS19984 | CA | Primary |
Addresses
Primary practice location
10155 Colima Rd
Whittier, CA 90603-2042
Mailing address
16543 Richvale Dr
Whittier, CA 90604-4044
Phone (562) 708-2834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Other | CA | INTERCOMMUNITY CHILD GUIDANCE CENTER |
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 |
|---|---|---|---|
| LCS19984 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1982736153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16543 RICHVALE DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906044044",
"telephone_number": "562-708-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10155 COLIMA RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032042",
"telephone_number": "562-692-0383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MARCELLA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS19984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERCOMMUNITY CHILD GUIDANCE CENTER",
"identifier": "104100000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.