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

Mary Ellen Walters, LCSW

Individual provider Clinical Social Worker · NPI 1588642805

Mary Ellen Walters, LCSW is a Clinical Social Worker in LA Jolla, California. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
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

8950 Villa La Jolla Dr Ste C112
LA Jolla, CA 92037-1703
Phone: (858) 643-9771
Fax: (858) 455-7612
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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 LCS14566 (CA)

Record details

NPI number1588642805
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 6, 2006
Last updated in NPPESJune 5, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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