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

Marlyn Tavira, LCSW

Individual provider Social Worker · NPI 1417507518

Marlyn Tavira, LCSW is a Social Worker in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

555 Anton Blvd Ste 150
Costa Mesa, CA 92626-7036
Phone: (714) 904-9810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 82159 (CA)

Record details

NPI number1417507518
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 19, 2019
Last updated in NPPESApril 25, 2023
Certification dateApril 21, 2023

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