Active NPI
Victoria Kay Maricich, LCSW
- Clinical Social Worker
- Newport Beach, CA
National Provider Identifier
1154475374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 19414
- Practice address
- 1501 E 16TH St
Newport Beach, CA 92663-5924 - Phone
- (949) 650-9750
- Fax
- (949) 650-9768
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 19414 | CA | Primary |
Addresses
Primary practice location
1501 E 16TH St
Newport Beach, CA 92663-5924
Mailing address
5562 Tammarisk Dr
Yorba Linda, CA 92886-4916
Phone (714) 747-5088
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19414 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154475374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5562 TAMMARISK DR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864916",
"telephone_number": "714-747-5088",
"fax_number": "949-223-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 16TH ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926635924",
"telephone_number": "949-650-9750",
"fax_number": "949-650-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARICICH",
"first_name": "VICTORIA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 19414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- James Peter Marchetti, PA-C
- Teresa Jean Marchione
- Brianna Lynn Marcial
- Marcie Beasley Pham LMFT, a Marriage and Family Therapy Professional
- Margaret M. Yago, M.D., Inc., a Professional Corporation
- Kathryn Marienthal, L.AC.
- Dahlia Marcell Marin, RD
- Mariners Pediatrics Medical Group, Inc.
- Mariners Surgicenter
- Catalin Gabriel Marinescu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.