Martha Rose Contreras-Pantoja, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25365 Issued in CA

Practice address

1151 Dove St Ste 295
Newport Beach, CA 92660

Phone

(949) 525-8056

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Martha Rose Contreras-Pantoja Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1295864932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602843",
            "telephone_number": "949-525-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-525-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-PANTOJA",
        "first_name": "MARTHA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "CONTRERAS-PANTOJA",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benjamin Eric Conrad, MD
• Jenelle M Consignado
• Continence Center Medical Group, Inc.
• Michael Frederick Contino, M.D.
• Raymond V Contino, PA-C
• Daniel Garcia Contreras
• David Gregory Cook, LMFT
• John F Cook Jr., MD
• Michael Cooley, DDS
• Cooper Fitness

• Clinical Social Worker in Newport Beach, CA
• Providers in Newport Beach, 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 May 31, 2018; 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.