MAYRA E MENDOZA LCSW
NPI 1750094413
Social Worker in San Diego, CA

Q: What is Mayra Mendoza's NPI number?

The NPI number for Mayra Mendoza is 1750094413. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Q: What is Mayra Mendoza's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Mendoza was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 27, 2022PECOS Enrolled

402 W BROADWAY STE 400, SAN DIEGO, CA 92101(866) 478-3978 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mayra E Mendoza Lcsw NPPES

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

MAYRA E MENDOZA LCSW (NPI 1750094413) is an individual social worker in San Diego, California, licensed in California (126746) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750094413

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMAYRA E MENDOZACredential: LCSW

Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554

Mailing AddressPo Box 22192Bakersfield, CA 93390-2192 · (831) 710-0783

Phone(866) 478-3978

Sole ProprietorNo

Enumeration DateDecember 27, 2022

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1750094413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 126746

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

402 W BROADWAY STE 400, San Diego, CA 92101

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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)

Mayra E 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.

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.

AMANDA ELIZONDO-FESSLER

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