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

Mindy S Koenig, LISW

Individual provider Clinical Social Worker · NPI 1891767752

Mindy S Koenig, LISW is a Clinical Social Worker in Irvine, California. Qualified in 1998, 28 years ago. Practices with Ukiah Adventist Hospital, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
28
Licensed in
CA, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

121 Barrington
Irvine, CA 92618-0841
Phone: (844) 257-0988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39 E Main St, New Albany, OH 43054-9466 — (614) 933-0700

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117036 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence I0009509 (OH)

Record details

NPI number1891767752
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedFebruary 6, 2006
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Ukiah Adventist Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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