Individual provider Active NPI

Mariela Navarrette

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1033639836
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95368 Issued in CA
Practice address
2701 Ocean Park Blvd Ste 118
Santa Monica, CA 90405-5219
Phone
(310) 829-8917
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 95368 CA Primary

Addresses

Primary practice location

2701 Ocean Park Blvd Ste 118
Santa Monica, CA 90405-5219

Mailing address

253 E Glenarm St Apt 2
Pasadena, CA 91106-4249
Phone (213) 400-5145

Other names 1

  • Mariela Castellanos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027002657 CA Practitioner - Clinical Social Worker 8921418237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Oct 5, 2020 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Oct 5, 2020 Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2701 Ocean Park Blvd
Ste 118
Santa Monica, CA 90405
Phone (310) 399-1885

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1033639836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 E GLENARM ST APT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064249",
            "telephone_number": "213-400-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 118",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055219",
            "telephone_number": "310-829-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRETTE",
        "first_name": "MARIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELA",
            "last_name": "CASTELLANOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.