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MAKANDO MUTANDA
NPI 1073154928
Social Worker - Clinical in Los Angeles, CA

Active since October 02, 2019PECOS Enrolled
1515 WILSHIRE BLVD, LOS ANGELES, CA 90017(213) 274-6593 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Nov 22, 2024, Oct 2, 2019 (3 updates tracked since 2019).

About Makando Mutanda NPPES

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

MAKANDO MUTANDA (NPI 1073154928) is an individual clinical provider in Los Angeles, California, licensed in California (126547) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1073154928
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAKANDO MUTANDA
Location Address1515 WILSHIRE BLVDLos Angeles, CA 90017-2216
Mailing Address1515 Wilshire Blvd Apt 617Los Angeles, CA 90017-3028 · (213) 274-6593
Phone(213) 274-6593
Sole ProprietorYes
Enumeration DateOctober 2, 2019
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1073154928 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 · 126547
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.
1515 WILSHIRE BLVD, Los Angeles, CA 90017
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Secondary Practice Location 1

Location 1300 Ucla Medical Plz Ste 2200Los Angeles, CA 90095-8346 · Phone (310) 825-9989

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makando Mutanda 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 90017 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Makando Mutanda's NPI number?

The NPI number for Makando Mutanda is 1073154928. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Makando Mutanda located?

Makando Mutanda practices at 1515 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 274-6593.

What is Makando Mutanda's specialty?

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

Is Makando Mutanda enrolled in Medicare?

Yes. Makando Mutanda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makando Mutanda was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.