Active NPI
Maria Elena Marticorena, LCSW
- Clinical Social Worker
- Elk Grove, CA
National Provider Identifier
1306957873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63305
- Practice address
- 5000 Chamberlin Cir
Elk Grove, CA 95757-2515 - Phone
- (916) 667-2706
- Fax
- (916) 667-2706
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63305 | CA | Primary |
Addresses
Primary practice location
5000 Chamberlin Cir
Elk Grove, CA 95757-2515
Mailing address
5000 Chamberlin Cir
Elk Grove, CA 95757-2515
Phone (916) 667-2706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20415 | Other | CA | ASW |
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 |
|---|---|---|---|
| 63305 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1306957873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHAMBERLIN CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957572515",
"telephone_number": "916-667-2706",
"fax_number": "916-667-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CHAMBERLIN CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957572515",
"telephone_number": "916-667-2706",
"fax_number": "916-667-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTICORENA",
"first_name": "MARIA ELENA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "63305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "20415",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.