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

Mariela Licon, LCSW

Individual provider Clinical Social Worker · NPI 1497201602

Mariela Licon, LCSW is a Clinical Social Worker in San Bernardino, California. Qualified in 2018, 8 years ago. Practices with St John's Community Health, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 N Waterman Ave
San Bernardino, CA 92404-5111
Phone: (909) 703-4099
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 County Farm Rd, Riverside, CA 92503-3508 — (951) 358-4400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW131192 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 131192 (CA)

Record details

NPI number1497201602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St. John'S Community Health — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Bernardino