MEDICARE: MATTHEW STEVEN MOLLENHAUER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	ASW85762	CA
2	1041C0700X	Clinical Social Worker	LCSW103794	CA

General Provider Information

NPI Number	:	1861962235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW STEVEN MOLLENHAUER LCSW

Provider Business Mailing Address
First Line	:	8844 FARGO LN
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-9671
Country	:	US
Telephone Number	:	530-391-7491
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 S SEPULVEDA BLVD FL 11
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6060
Country	:	US
Telephone Number	:	530-672-1785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	06/12/2025

Similar Medicare Providers

1073542791 — MINH-THU THI LE PH.D.
Practice Location Address:

3415 S SEPULVEDA BLVD , FL 11
LOS ANGELES, CA
90034-6060

Practice Phone: 310-869-1050
Practice Fax: 714-379-0187

1972914877 — MS. AURA WALKER MA, POST GRAD CERTIF
Practice Location Address:

3415 S SEPULVEDA BLVD STE 1122
LOS ANGELES, CA
90034-6060

Practice Phone: 310-382-6313
Practice Fax:

1487137295 — DR. REBECCA SUCHOV PSYD
Practice Location Address:

3415 S SEPULVEDA BLVD STE 110
LOS ANGELES, CA
90034-6060

Practice Phone: 310-421-9917
Practice Fax:

1891310124 — MOVN HEALTH MEDICAL GROUP PLLC
Practice Location Address:

3415 S SEPULVEDA BLVD STE 1168
LOS ANGELES, CA
90034-6060

Practice Phone: 833-426-6686
Practice Fax:

1366037152 — PROSPECT MEDICAL GROUP AZ, INC.
Practice Location Address:

3415 S SEPULVEDA BLVD FL 9
LOS ANGELES, CA
90034-6060

Practice Phone: 310-943-4500
Practice Fax:

1912672171 — QUICKMD LLC
Practice Location Address:

3415 S SEPULVEDA BLVD FL 10
LOS ANGELES, CA
90034-6060

Practice Phone: 888-878-4256
Practice Fax:

Directions to “ MATTHEW STEVEN MOLLENHAUER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.