Marisa Cynthia Martinez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

23425 Coyote Springs Dr
Diamond Bar, CA 91765-2620

Phone

(626) 375-1381

NPI assigned

Dec 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1346908522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 37TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 COYOTE SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652620",
            "telephone_number": "626-375-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARISA",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Mansour
• Silpa Mantripragada
• Jeremy Marcilla, LCSW
• Dolores K. Martin, MFT
• Wayne Hamilton Martin, M.D.
• Sandra A Mathur, DO
• Michael Maung, M.D.
• Felista Wanjiru Mbogo
• Leah Mburu
• James McAfee, DPT

• Clinical Social Worker in Diamond Bar, CA
• Providers in Diamond Bar, 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 Dec 3, 2021; 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.