Individual provider Active NPI

Maria-Jose Martirene, LCSW

  • Clinical Social Worker
  • Goleta, CA
National Provider Identifier
1306095013
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW75229 Issued in CA
Practice address
5580 Calle Real
Goleta, CA 93111-1646
Phone
(844) 594-0343
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 LCSW75229 CA Primary

Addresses

Primary practice location

5580 Calle Real
Goleta, CA 93111-1646

Mailing address

PO Box 30283
Santa Barbara, CA 93130-0283
Phone (805) 636-1223

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
I20240130003245 CA Practitioner - Clinical Social Worker 0446603005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW75229CAMDClinical Social Worker
75229CAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics CurrentSince Dec 10, 2023 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Dec 10, 2023 Accepting new patients
Santa Barbara Neighborhood Clinics Current Accepting new patients

Locations

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

5580 Calle Real
Santa Barbara, CA 93111
Phone (805) 617-7878

Organizations & group practices 3

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1306095013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30283",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931300283",
            "telephone_number": "805-636-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 CALLE REAL",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931111646",
            "telephone_number": "844-594-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIRENE",
        "first_name": "MARIA-JOSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.