Genevieve Marilyn Banegas, LCSW, PPSC
NPI 1821340480ActiveIndividual· Social Worker, Clinical· Fort Bragg, CA
Social Worker, Clinical (LCSW, PPSC) with Mendocino Coast Clinics Inc, practicing in Fort Bragg, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1821340480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, PPSC |
| Sole proprietor | No |
| NPI issued | Oct 8, 2012 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 77553 | CA |
| Social Worker, Clinical | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Rehabilitation Practitioner | 225400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mendocino Coast Clinics IncFort Bragg, CA · 22 clinicians
Other clinical social workers in Fort Bragg
- 1295852242
- 1528250495
- 1649359001
- 1083267165
- 1104999606
- 1164582268
- 1891980561
- 1568134591
- 1063537801
- 1073841540
- 1689342180
- 1003249525
All 20 clinical social workers in Fort Bragg · All clinical social workers in California