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MS. MIMI DEGENNARO LCSW
NPI 1376780411
Social Worker - Clinical in Novato, CA

Active since January 12, 2009Opted out of Medicare · through Feb 5, 2027
250 BEL MARIN KEYS, C-1, NOVATO, CA 94949(415) 369-8989 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1376780411
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MIMI DEGENNAROCredential: LCSW
Location Address250 BEL MARIN KEYS, C-1Novato, CA 94949
Mailing Address448 Ignacio, #132Novato, CA 94949 · (415) 269-8989
Phone(415) 369-8989
Sole ProprietorYes
Enumeration DateJanuary 12, 2009
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1376780411 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 · 18738
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.
250 BEL MARIN KEYS, Novato, CA 94949
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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.

Opt-Out Effective DateFebruary 5, 2025
Opt-Out In Effect ThroughFebruary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. GRACE W ROGERS PHD
Marriage & Family Therapist
250 BEL MARIN KEYS, #C5
NOVATO, CA 94949
Marin County (415) 662-2388

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 Mimi Degennaro's NPI number?

The NPI number for Mimi Degennaro is 1376780411. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Mimi Degennaro located?

Mimi Degennaro practices at 250 Bel Marin Keys C-1, Novato, CA 94949. The listed phone number is (415) 369-8989.

What is Mimi Degennaro's specialty?

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

Is Mimi Degennaro enrolled in Medicare?

No. Mimi Degennaro has opted out of Medicare through February 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mimi Degennaro was last updated on August 12, 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.