Active NPI
Diane Demartino, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1366791360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW80276
- Practice address
- 10780 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7634 - Phone
- (323) 319-6191
- NPI assigned
- Sep 5, 2012
- Last updated
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW115597 | TX | |
| Clinical Social Worker | 1041C0700X | LCSW095599 | NY | |
| Clinical Social Worker | 1041C0700X | LCSW80276 | CA | Primary |
Addresses
Primary practice location
10780 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7634
Mailing address
10780 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7634
Phone (323) 696-0865
Other names 1
- Diane De Martino
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 |
|---|---|---|---|
| LCSW80276 | CA | MD | Clinical Social Worker |
| LCSW095599 | NY | MD | Clinical Social Worker |
| LCSW115597 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1366791360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257634",
"telephone_number": "323-696-0865",
"fax_number": "323-843-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257634",
"telephone_number": "323-319-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARTINO",
"first_name": "DIANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "LCSW115597",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "LCSW095599",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW80276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "DE MARTINO",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.