HENRY JOSEPH MENDOZA CORDOVA LCSW
NPI 1720721939
Social Worker - Clinical in Vista, CA

Q: What is Henry Joseph Cordova's NPI number?

The NPI number for Henry Joseph Cordova is 1720721939. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Henry Joseph Cordova's specialty?

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

Active since April 15, 2022PECOS Enrolled

780 SHADOWRIDGE DR, VISTA, CA 92083(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2023, Jul 25, 2022, Apr 15, 2022 (3 updates tracked since 2022).

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About Henry Joseph Mendoza Cordova Lcsw NPPES

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

HENRY JOSEPH MENDOZA CORDOVA LCSW (NPI 1720721939) is an individual clinical provider in Vista, California, licensed in California (107659) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720721939

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameHENRY JOSEPH MENDOZA CORDOVACredential: LCSW

Location Address780 SHADOWRIDGE DRVista, CA 92083-7986

Mailing AddressPo Box 732San Marcos, CA 92079-0732

Phone(833) 574-2273

Sole ProprietorYes

Enumeration DateApril 15, 2022

Last NPPES UpdateSeptember 21, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1720721939 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 · 107659

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.

780 SHADOWRIDGE DR, Vista, CA 92083

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Joseph Mendoza Cordova 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 92083 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

DONNA CHRISTINE GRAY LCSW

Social Worker (Clinical)