Active NPI
Damaris Marquez, LCSW
- Clinical Social Worker
- Three Rivers, TX
National Provider Identifier
1427464262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106809
- Practice address
- 105 E Thornton
Three Rivers, TX 78071-2720 - Phone
- (361) 786-3618
- Fax
- (361) 786-3649
- NPI assigned
- Jul 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88533 | CA | |
| Clinical Social Worker | 1041C0700X | 106809 | TX | Primary |
Addresses
Primary practice location
105 E Thornton
Three Rivers, TX 78071-2720
Mailing address
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88533 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Distinctive Counseling and Consulting PLLC | Current | Accepting new patients |
Locations
4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541
4646 Corona Dr
Ste 158
Corpus Christi, TX 78411
Phone (361) 547-5541
422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541
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 and National Provider Directory roles.
-
- Counselor
- Corpus Christi, TX
- NPI 1891383345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1427464262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W OAKLAWN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-8940",
"fax_number": "830-224-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E THORNTON",
"city": "THREE RIVERS",
"state": "TX",
"postal_code": "780712720",
"telephone_number": "361-786-3618",
"fax_number": "361-786-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "DAMARIS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88533",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Three Rivers, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.