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

Genevieve Marilyn Banegas, LCSW, PPSC

Individual provider Mental Health Counselor · NPI 1821340480

Genevieve Marilyn Banegas, LCSW, PPSC is a Clinical Social Worker in Fort Bragg, California. Qualified in 2012, 14 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

205 S St
Fort Bragg, CA 95437
Phone: (707) 961-3492
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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 · Licence 77553 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1821340480
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PPSC
Sole proprietorNo
NPI enumeratedOctober 8, 2012
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mendocino Coast Clinics, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Bragg