Doctor profile · Federal record
Dr. Ethan Mandelkern
Clinical Social Worker · Professional Counselor · Mount Shasta, CA
- NPI 1023224623
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
419 Chestnut St, Suite #2
Mount Shasta, CA 960672918
(530) 918-8348
fax (530) 918-5477
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- August 12, 2024
- Specialty taxonomy
- 1041C0700X — NUCC code
- State licenses (2)
- California #LCSW64679 · California #LPCC726
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023224623. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
161
Distinct HCPCS
1
Medicare allowed
$17,938
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 161 | 12 | $111 |
In context: peer comparison
Among 2 peers in Mount Shasta Clinical Social Worker, average services per provider: 160. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Ethan Mandelkern's medical specialty?
Dr. Ethan Mandelkern practices Clinical Social Worker in Mount Shasta, CA.
Where does Dr. Ethan Mandelkern practice?
Dr. Ethan Mandelkern practices at 419 Chestnut St, Mount Shasta, CA 960672918. Office phone: 5309188348.
What is Dr. Ethan Mandelkern's NPI?
Dr. Ethan Mandelkern's National Provider Identifier (NPI) is 1023224623, issued by NPPES.
What procedures does Dr. Ethan Mandelkern commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.