Individual provider Active NPI

Nancy C Martinez, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1376821124
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS27859 Issued in CA
Practice address
695 S Vermont Ave
9TH Floor
Los Angeles, CA 90005-1349
Phone
(213) 480-3480
Fax
(213) 252-8878
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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 LCS27859 CA Primary

Addresses

Primary practice location

695 S Vermont Ave
9TH Floor
Los Angeles, CA 90005-1349

Mailing address

695 S Vermont Ave
9TH Floor
Los Angeles, CA 90005-1349
Phone (213) 480-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003761 CA Practitioner - Clinical Social Worker 3072860345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS27859CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 3, 2018 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 3, 2018 Accepting new patients
Los Angeles County Department of Mental Health Past Accepting new patients

Locations

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

695 S Vermont Ave
Fl 9
Los Angeles, CA 90005
Phone (213) 480-3407

11080 W Olympic Blvd
Fl 1
Los Angeles, CA 90064
Phone (310) 966-6610

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

Organizations & group practices 4

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1376821124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S VERMONT AVE",
            "address_2": "9TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051349",
            "telephone_number": "213-480-3480",
            "fax_number": "213-252-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S VERMONT AVE",
            "address_2": "9TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051349",
            "telephone_number": "213-480-3480",
            "fax_number": "213-252-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS27859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.