Active NPI
Martha Nunez, ACSW
- Social Worker
- Ontario, CA
National Provider Identifier
1003344771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2940 Inland Empire Blvd
Ontario, CA 91764-4898 - Phone
- (909) 458-1517
- Fax
- (909) 944-2917
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Mailing address
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone (909) 458-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1003344771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898",
"telephone_number": "909-458-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898",
"telephone_number": "909-458-1517",
"fax_number": "909-944-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "MARTHA",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.