MS. MIMI DEGENNARO LCSW
NPI 1376780411
Social Worker - Clinical in Novato, CA
About Ms. Mimi Degennaro Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MIMI DEGENNARO LCSW (NPI 1376780411) is an individual clinical provider in Novato, California, licensed in California (18738) and active in the NPI registry since January 2009. She has opted out of Medicare through February 5, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Mimi Degennaro Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2025 through February 5, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376780411, enumerated as an "individual" on January 12, 2009.
The provider is located at 250 BEL MARIN KEYS C-1 NOVATO, CA 94949 and the phone number is (415) 369-8989.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
