Active NPI
Joanna Elizabeth Marroquin, LCSW
- Clinical Social Worker
- Santa Clara, CA
National Provider Identifier
1174820740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140 - Phone
- (323) 968-6182
- NPI assigned
- Feb 17, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW36886 | CA | |
| Clinical Social Worker | 1041C0700X | 95142 | CA | |
| Clinical Social Worker | 1041C0700X | ASW36886 | CA | |
| Clinical Social Worker | 1041C0700X | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Mailing address
PO Box 6643
Altadena, CA 91003-6643
Phone (626) 543-4663
Other practice location 1
262 E Evergreen Ave
Monrovia, CA 91016-4626
Phone (626) 408-0088
Other practice location 2
760 Mountain View St
Altadena, CA 91001-4925
Phone (626) 993-3137
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 |
|---|---|---|---|
| ASW36886 | CA | MD | Social Worker |
| 95142 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1174820740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6643",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910036643",
"telephone_number": "626-543-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY STE 320",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541140",
"telephone_number": "323-968-6182"
}
],
"practiceLocations": [
{
"address_1": "262 E Evergreen Ave",
"address_purpose": "LOCATION",
"city": "Monrovia",
"state": "CA",
"postal_code": "910164626",
"country_code": "US",
"telephone_number": "626-408-0088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Mountain View St",
"address_purpose": "LOCATION",
"city": "Altadena",
"state": "CA",
"postal_code": "910014925",
"country_code": "US",
"telephone_number": "626-993-3137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARROQUIN",
"first_name": "JOANNA",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW36886",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95142",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW36886",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.