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

Miss. Mary E Coombs, LCSW

Individual provider Social Worker · NPI 1134466204

Miss. Mary E Coombs, LCSW is a Clinical Social Worker in Stockton, California. Qualified in 2016, 10 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
10
Licensed in
CA, UT
In the registry since
2013
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.

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Practice location Address checks out

3763 Hatchers Cir
Stockton, CA 95219-3106
Phone: (209) 655-4825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 706 Lucas Rd, Lodi, CA 95242-9333 — (209) 200-8611

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW111069 (CA)
Social Worker Taxonomy 104100000X · Licence 9781431-3502 (UT)

Record details

NPI number1134466204
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2013
Last updated in NPPESMarch 1, 2026
Certification dateMarch 1, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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