Individual provider Active NPI

Damaris Macias, MSW, ACSW

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1386007508
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ACSW69223 Issued in CA
Practice address
1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201-1978
Phone
(818) 658-5502
Fax
(818) 751-5171
NPI assigned
Apr 4, 2016
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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 ACSW69223 CA Primary

Addresses

Primary practice location

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201-1978

Mailing address

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201-1978
Phone (818) 658-5502

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

LicenseStateTypeSpecialty
ACSW69223CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Group, Inc PastSince Apr 9, 2024 Accepting new patients
Ac and CS Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1386007508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "818-658-5502",
            "fax_number": "818-751-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "818-658-5502",
            "fax_number": "818-751-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "DAMARIS",
        "credential": "MSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW69223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.