Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Coast Emotional Wellness Licensed Clinical Social Worker

Organization Clinical Social Worker · NPI 1417759788

Central Coast Emotional Wellness Licensed Clinical Social Worker is a Clinical Social Worker in Santa Maria, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

201 S Miller St Ste 107
Santa Maria, CA 93454-5248
Phone: (805) 400-3721
Fax: (805) 614-7126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1417759788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gizelle Mendoza — President · (805) 400-3721
Other names Central Coast Emotional Wellness
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address201 S Miller St Ste 107, Santa Maria, CA 93454-5248

Other providers in Santa Maria