Individual provider Active NPI

Adrienne Martinez-Villegas, CSW

  • Clinical Social Worker
  • Gardena, CA
National Provider Identifier
1285852038
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91029355 Issued in CA
Practice address
13931 Van Ness Ave
Gardena, CA 90249-2941
Phone
(310) 768-8018
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 91029355 CA Primary

Addresses

Primary practice location

13931 Van Ness Ave
Gardena, CA 90249-2941

Mailing address

2036 Chestnut Ave
A
Long Beach, CA 90806-4604
Phone (310) 768-8018

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

LicenseStateTypeSpecialty
91029355CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Drug Abuse Program, Inc Past Accepting new patients

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285852038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 CHESTNUT AVE",
            "address_2": "A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064604",
            "telephone_number": "310-768-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492941",
            "telephone_number": "310-768-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-VILLEGAS",
        "first_name": "ADRIENNE",
        "name_prefix": "Miss",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91029355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.