MERCEDES SAMUDIO (NPI# 1659645927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659645927 |
Entity Type | Individual |
Full Name | MERCEDES SAMUDIO |
Other Name | MERCEDES STANLEY |
Credential | LCSW |
Practice Address |
2930 W Imperial Hwy Suite 310 Inglewood CA 90303-3143 |
Mailing Address |
Po Box 601 Huntington Beach CA 92648-0601 |
Practice Telephone | 3103513609 |
Mailing Telephone | 3103513609 |
Enumeration Date | 2012-03-02 |
Last Update Date | 2014-12-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW32387 | CA | Behavioral Health & Social Service Providers |
N | 104100000X | Social Worker | ASW32387 | CA | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 64645 | CA | Behavioral Health & Social Service Providers |
Street Address |
2930 W IMPERIAL HWY SUITE 310 |
City | INGLEWOOD |
State | CA |
Zip Code | 90303-3143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639106685 | Western Imperial Medical Distributors | Durable Medical Equipment & Medical Supplies | 2930 W Imperial Hwy, Suite 200q, Inglewood, CA 90303-3143 | 2006-06-26 |
1427521848 | Lourdez M Zambrano | Case Manager/Care Coordinator | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2019-01-08 |
1356686935 | Charmaine M Holland | Preferred Provider Organization | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2012-12-07 |
1073873915 | Fountain Hope and Health for Youth | Community/Behavioral Health | 2930 W Imperial Hwy, 510, Inglewood, CA 90303-3143 | 2012-05-25 |
1265798094 | Nathaniel Pumphrey | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-05 |
1427314681 | Wilbur Winston Williams | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-02 |
1487930970 | Fiona Okereke | Registered Nurse | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-27 |
1972888386 | Danielle Joaquin Redmond | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-17 |
1952680340 | Erik Giovanni Alvarado | Counselor | 2930 W Imperial Hwy, Suite 200m, Inglewood, CA 90303-3143 | 2011-08-16 |
1023308053 | Peter Singleton | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-04-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
Find all providers in zip 90303 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720606106 | Verda R Bradley | Social Worker | 1061 E Hyde Park Blvd, Inglewood, CA 90302-1801 | 2020-07-11 |
1417577651 | Geovanni Santoyo | Social Worker | 815 Walnut St Apt 4, Inglewood, CA 90301-4903 | 2020-04-17 |
1457995995 | Tiffany Wright | Social Worker | 3907 W 111th St, Inglewood, CA 90303-2140 | 2019-10-28 |
1740830967 | Natasha Wells | Social Worker | 8711 1/2 S Van Ness Ave, Inglewood, CA 90305-2512 | 2019-09-19 |
1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
1720453590 | Natasha Cole | Social Worker | 730 Cory Dr, #10, Inglewood, CA 90302-3804 | 2015-12-04 |
1417207739 | Tristian E Mitchell | Social Worker | 302 E Manchester Blvd Ste 203, Inglewood, CA 90301-1815 | 2012-09-13 |
1962750398 | Sonya Rena Rock | Social Worker | 300 E Hillcrest Blvd, #911, Inglewood, CA 90301-9997 | 2012-08-15 |
1316145527 | Jennifer Shepard Payne | Social Worker | 3425 W Manchester Blvd # 4, Inglewood, CA 90305-2101 | 2007-07-10 |
1215153036 | Martha Marie Watson | Social Worker | 2930 W Imperial Hwy Ste 310, Inglewood, CA 90303-3141 | 2007-04-18 |
Find all providers in INGLEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.