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NANCY MARDIS LCSW
NPI 1124138425
Social Worker - Clinical in Lodi, CA

Active since August 30, 2006PECOS Enrolled
12755 N HIGHWAY 88, LODI, CA 95240(209) 340-7900 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy Mardis Lcsw NPPES

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

NANCY MARDIS LCSW (NPI 1124138425) is an individual clinical provider in Lodi, California, licensed in California (LCSW 18663) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124138425
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNANCY MARDISCredential: LCSW
Location Address12755 N HIGHWAY 88Lodi, CA 95240-9323
Mailing AddressPo Box 330Victor, CA 95253-0330 · (209) 340-7900
Phone(209) 340-7900
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1124138425 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 · LCSW 18663
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.
12755 N HIGHWAY 88, Lodi, CA 95240
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Other Identifiers 1

Medicaid2376CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Mardis 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 95240 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.

MR. JOHN BRIAN FORD MFTI
Marriage & Family Therapist
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5828
JANE KNOX
Counselor (Mental Health)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
EVELYN GONZALEZ
Counselor
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
CURTIS PERKINS
Counselor (Mental Health)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-7900
LISA MONK
Student in an Organized Health Care Education/Training Program
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
BETTY ANN STANHOPE
Community Health Worker
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5835
LINDA L RECUPARO M.A.
Marriage & Family Therapist
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
TRYPHENA P ADAMS
Counselor (Mental Health)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800

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 Nancy Mardis's NPI number?

The NPI number for Nancy Mardis is 1124138425. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Nancy Mardis located?

Nancy Mardis practices at 12755 N Highway 88, Lodi, CA 95240. The listed phone number is (209) 340-7900.

What is Nancy Mardis's specialty?

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

Is Nancy Mardis enrolled in Medicare?

Yes. Nancy Mardis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nancy Mardis was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.