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CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA
NPI 1194504480
Clinic/Center - Mental Health (Including Community Mental Health Center) in Marina Del Rey, CA

Active since September 26, 2023
13902 FIJI WAY APT 119, MARINA DEL REY, CA 90292(909) 515-3698 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA

This page provides the complete NPI Profile along with additional information for Clinical Social Work Corporation Of Califronia, a provider established in Marina Del Rey, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1194504480 assigned on September 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Melinda G Drake Lcsw, Lisw Cp & Ap (Ceo)

NPI
1194504480 Verify this NPI
Provider Name
CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA
Entity Type
Organization
Location Address
13902 FIJI WAY APT 119 MARINA DEL REY, CA 90292
Location Phone
(909) 515-3698
Mailing Address
4712 ADMIRALTY WAY # 1011 MARINA DEL REY, CA 90292
Mailing Phone
(909) 515-3698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2023
Last Update Date
09-26-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1251B00000XAgencies

Case Management

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELINDA G DRAKE LCSW, LISW CP & AP

Authorized Official Title
CEO
Authorized Official Phone
(803) 331-0865

Reviews for CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA

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Frequently Asked Questions

What is CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA's NPI number?

The NPI number assigned to this healthcare provider is 1194504480, enumerated as an "organization" on September 26, 2023.

Where is the provider located?

The provider is located at 13902 FIJI WAY APT 119 MARINA DEL REY, CA 90292 and the phone number is (909) 515-3698.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).