Trista Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126468 Issued in CA

Practice address

250 Executive Park Blvd
San Francisco, CA 94134-3394

Phone

(415) 656-0116

NPI assigned

Nov 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sera Clinical Services

  • Clinical Social Worker
  • Roseville, CA
  • NPI 1740112986
  NPD Authorized official

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1053784744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 HIDDEN GLEN DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773230",
            "telephone_number": "916-207-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343394",
            "telephone_number": "415-656-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5385 Hidden Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956773230",
            "country_code": "US",
            "telephone_number": "916-207-2792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8795 Folsom Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263719",
            "country_code": "US",
            "telephone_number": "916-254-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRISTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "99554",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Henry Martin, PHARMD
• Taelor Marie Martin, LMFT
• Taylor Martin
• Thomas G. Martin, MD
• Toni Lamonte Martin
• Tyrone Darnell Martin, NONE
• William Curtis Martin, PHARMD, RPH
• Michelle Martinelli, MD
• Carmen Regina Martines, MA
• Adela Martinez Berg, M.ED, RADT

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.