Provider Demographics
NPI:1437532371
Name:MEJIA, DULCE (LCSW, PPSC)
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:
Last Name:MEJIA
Suffix:
Gender:F
Credentials:LCSW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-4326
Mailing Address - Country:US
Mailing Address - Phone:661-631-5895
Mailing Address - Fax:661-631-5898
Practice Address - Street 1:3806 JEWETT AVENUE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-631-3234
Practice Address - Fax:661-863-0115
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPPSC1800145451041S0200X
CALCSW927821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool