Myndloft Licensed Clinical Social Worker Professional Corporation
NPI 1093415481 · Clinical Social Worker · Orange, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myndloft Licensed Clinical Social Worker Professional Corporation is a Clinical Social Worker organization in Orange, CA (NPI 1093415481).
Provider details
- NPI number
- 1093415481
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dale Werner, Administrator(949) 569-9226
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mindloft
- Doing business as
- Myndloft
Additional practice locations (2)
- 3162 Upas StSan Diego, CA 92104-4246Phone: (949) 569-9244Fax: (619) 354-1803
- 601 N Hampton St Apt 1424Fort Worth, TX 76102-5043Phone: (949) 569-9173Fax: (619) 354-1803
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Myndloft Licensed Clinical Social Worker Professional Corporation's NPI number?
- Myndloft Licensed Clinical Social Worker Professional Corporation's National Provider Identifier (NPI) is 1093415481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myndloft Licensed Clinical Social Worker Professional Corporation?
- Myndloft Licensed Clinical Social Worker Professional Corporation is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Myndloft Licensed Clinical Social Worker Professional Corporation located?
- Myndloft Licensed Clinical Social Worker Professional Corporation's practice location on file with NPPES is 240 W Chapman Ave Ste 200, Orange, CA 92866-1316.
- What is Myndloft Licensed Clinical Social Worker Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Myndloft Licensed Clinical Social Worker Professional Corporation is (855) 750-5010.
- Does Myndloft Licensed Clinical Social Worker Professional Corporation accept Medicare?
- Myndloft Licensed Clinical Social Worker Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Myndloft Licensed Clinical Social Worker Professional Corporation?
- The authorized official listed on Myndloft Licensed Clinical Social Worker Professional Corporation's NPPES record is Dale Werner, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myndloft Licensed Clinical Social Worker Professional Corporation's NPI active?
- Yes — Myndloft Licensed Clinical Social Worker Professional Corporation's NPI (1093415481) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.