MRS. CAROLYN GRACE CLEDERA LCSW #76937
NPI 1114443264
Social Worker - Clinical in Costa Mesa, CA

Q: What is Carolyn Cledera's NPI number?

The NPI number for Carolyn Cledera is 1114443264. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Carolyn Cledera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Cledera was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 21, 2017

301 VICTORIA ST, COSTA MESA, CA 92627(499) 642-2734(949) 999-6192 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Mar 16, 2020, Aug 21, 2017 (3 updates tracked since 2017).

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About Mrs. Carolyn Grace Cledera Lcsw #76937 NPPES

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

MRS. CAROLYN GRACE CLEDERA LCSW #76937 (NPI 1114443264) is an individual clinical provider in Costa Mesa, California, licensed in California (76937) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1114443264

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. CAROLYN GRACE CLEDERACredential: LCSW #76937

Location Address301 VICTORIA STCosta Mesa, CA 92627-1995

Mailing AddressPo Box 10433Costa Mesa, CA 92627-0161 · (949) 697-9992

Phone(499) 642-2734

Fax(949) 999-6192

Sole ProprietorNo

Enumeration DateAugust 21, 2017

Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2023

✔ NPI 1114443264 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 · 76937

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.

301 VICTORIA ST, Costa Mesa, CA 92627

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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.

SUMMER MARIE DEL REAL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)