Individual provider Active NPI

Patricia Marin, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1376616391
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072054 Issued in NY
Practice address
5901 E. 7TH Street
Long Beach, CA 90822
Phone
(562) 826-8000
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16287 FL
Clinical Social Worker 1041C0700X 072054 NY Primary

Addresses

Primary practice location

5901 E. 7TH Street
Long Beach, CA 90822

Mailing address

5901 E. 7TH Street
Long Beach, CA 90822
Phone (562) 826-8000

Other practice location 1

10000 Bay Pines Blvd Building 111
Bay Pines, FL 33744-8202
Phone (727) 398-6661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.marin@va.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16287FLMDClinical Social Worker
072054NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Marin Clinical CurrentSince Jul 8, 2014 Accepting new patients
Sue a Brewer Inc Clinical Past Accepting new patients

Locations

7850 Ulmerton Rd
Ste 2A
Largo, FL 33771
Phone (347) 978-3833

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1376616391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E. 7TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E. 7TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Bay Pines Blvd Building 111",
            "address_purpose": "LOCATION",
            "city": "Bay Pines",
            "state": "FL",
            "postal_code": "337448202",
            "country_code": "US",
            "telephone_number": "727-398-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16287",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.marin@va.gov",
            "affiliation": "N",
            "endpointDescription": "Patricia.marin@va.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5901 E. 7th Street",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.