Active NPI
Martika Marie Naar-Tucker, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1013659606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113194
- Practice address
- 11710 San Vicente Blvd
Los Angeles, CA 90049-5006 - Phone
- (855) 651-1580
- NPI assigned
- Apr 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81947 | CA | |
| Clinical Social Worker | 1041C0700X | 113194 | CA | Primary |
Addresses
Primary practice location
11710 San Vicente Blvd
Los Angeles, CA 90049-5006
Mailing address
PO Box 990
Lawndale, CA 90260-0990
Other practice location 1
11622 Aviation Blvd Apt 227
Inglewood, CA 90304-1074
Phone (424) 234-8549
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | slack |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113194 | CA | MD | Clinical Social Worker |
| 81947 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682726400000",
"number": "1013659606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902600990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495006",
"telephone_number": "855-651-1580"
}
],
"practiceLocations": [
{
"address_1": "11622 Aviation Blvd Apt 227",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903041074",
"country_code": "US",
"telephone_number": "424-234-8549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAAR-TUCKER",
"first_name": "MARTIKA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2023-04-29",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81947",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "113194",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "slack",
"affiliation": "N",
"address_1": "11710 San Vicente Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900495006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.