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

Michael Mabanglo, LCSW

Individual provider Clinical Social Worker · NPI 1558431528

Michael Mabanglo, LCSW is a Clinical Social Worker in Sonoma, California. Qualified in 2003, 23 years ago. Practices with Sonoma Valley Community Health Center, a 16-clinician group. Licensed in California.

Years since qualifying
23
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

19270 Highway 12
Sonoma, CA 95476-5414
Phone: (707) 939-6070
Fax: (707) 939-6077
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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 LCS18876 (CA)

Record details

NPI number1558431528
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address19270 Highway 12, Sonoma, CA 95476-5414

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sonoma Valley Community Health Center — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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