Individual provider Active NPI

Martha Mateo, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1215584974
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW122431 Issued in CA
Practice address
1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072
Phone
(213) 743-9000
NPI assigned
Aug 19, 2019
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 LCSW122431 CA Primary

Addresses

Primary practice location

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072

Mailing address

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072

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
I20240802000879 CA Practitioner - Clinical Social Worker 7012454473 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW122431CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jul 10, 2024 Accepting new patients
Northeast Community Clinic CurrentSince Dec 26, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 24, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 24, 2025 Accepting new patients
Gracelight Community Health CurrentSince Jul 10, 2024 Accepting new patients
All for Kids Organization PastSince Aug 25, 2019 Accepting new patients

Locations

2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900

1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1215584974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153072",
            "telephone_number": "213-743-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW122431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.