MERCEDES SAMUDIO


Address: 2930 W Imperial Hwy, Suite 310, Inglewood, CA 90303-3143
Phone: 3103513609

MERCEDES SAMUDIO (NPI# 1659645927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2930 W IMPERIAL HWY
SUITE 310
City INGLEWOOD
State CA
Zip Code 90303-3143

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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
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Competitor

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City INGLEWOOD
Zip Code 90303

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Dataset Information

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.

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