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MARIAN ROSE PENA LCSW
NPI 1053441519
Social Worker - Clinical in Clearlake, CA

Active since March 06, 2007PECOS Enrolled
15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-4500(707) 995-2401 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marian Rose Pena Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAN ROSE PENA LCSW (NPI 1053441519) is an individual clinical provider in Clearlake, California, licensed in California (LCS16704) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053441519
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIAN ROSE PENACredential: LCSW
Location Address15230 LAKESHORE DRClearlake, CA 95422-8107
Mailing Address11049 Wheeler DrKelseyville, CA 95451-9752 · (707) 277-0346
Phone(707) 995-4500
Fax(707) 995-2401
Sole ProprietorYes
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053441519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS16704
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15230 LAKESHORE DR, Clearlake, CA 95422
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marian Rose Pena Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AILEEN ELIZABETH KLEIN LCSW
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4543
MRS. MELANIE IRENE CARUSO LVN
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500
LAKE HEALTH SERVICES, INC.
Pharmacy (Long Term Care Pharmacy)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 994-3141
KATRICE CHRISTINE MALISZEWSKI
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4545
VERONICA HARRISON LCSW
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4545
KRITHIKA UMESH PESHWE MD
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500
SHICHANG HAO MD
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4530
MS. KATHERINE ROBIN WILLEMS FNP
Nurse Practitioner (Family)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marian Pena's NPI number?

The NPI number for Marian Pena is 1053441519. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Marian Pena located?

Marian Pena practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-4500.

What is Marian Pena's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Marian Pena enrolled in Medicare?

Yes. Marian Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marian Pena was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.