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MAYRA OLIVIA MENDOZA LCSW
NPI 1164908919
Social Worker - Clinical in Modesto, CA

Active since July 16, 2018PECOS Enrolled
2101 TENAYA DR, MODESTO, CA 95354(209) 722-4842 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Jul 16, 2018 (2 updates tracked since 2018).

About Mayra Olivia Mendoza Lcsw NPPES

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

MAYRA OLIVIA MENDOZA LCSW (NPI 1164908919) is an individual clinical provider in Modesto, California, licensed in California (113834) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164908919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYRA OLIVIA MENDOZACredential: LCSW
Location Address2101 TENAYA DRModesto, CA 95354-3930
Mailing Address1910 Customer Care WayAtwater, CA 95301-5167 · (209) 722-4842
Phone(209) 722-4842
Sole ProprietorNo
Enumeration DateJuly 16, 2018
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1164908919 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 · 113834
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.
2101 TENAYA DR, Modesto, CA 95354
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Other Names 1

Former Name (1)Mayra Olivia Torres Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Olivia Mendoza 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 95354 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 17

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

JANISE ROEBUCK NP
Nurse Practitioner (Family)
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
MISS WHITNEY LETISHA BELTRAN
Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 960-6914
JASMINE ESPINOSA
Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
EDE J VOORHEIS PA-C
Physician Assistant (Medical)
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
FARISHTA NAHEBZADA PA-C
Physician Assistant
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
GOLDEN VALLEY HEALTH CENTER
Community/Behavioral Health
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
DR. ANTONIO E. APELLANES MD
Pediatrics
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
CAROL WHERRY TRILLER R.N.
Registered Nurse
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766

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 Mayra Mendoza's NPI number?

The NPI number for Mayra Mendoza is 1164908919. It was assigned to this individual provider in the NPPES registry on July 16, 2018. The provider is also known as Mayra Olivia Torres Lcsw.

Where is Mayra Mendoza located?

Mayra Mendoza practices at 2101 Tenaya Dr, Modesto, CA 95354. The listed phone number is (209) 722-4842.

What is Mayra Mendoza's specialty?

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

Is Mayra Mendoza enrolled in Medicare?

Yes. Mayra Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayra Mendoza was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.