Active NPI
Isidora Martinez-Miller, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1457557944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS11090
- Practice address
- 5105 W Goldleaf Cir
Los Angeles, CA 90056-1269 - Phone
- (323) 298-3191
- NPI assigned
- Jun 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS11090 | CA | Primary |
Addresses
Primary practice location
5105 W Goldleaf Cir
Los Angeles, CA 90056-1269
Mailing address
251 S Peck Dr
Beverly Hills, CA 90212-3712
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS11090 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457557944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 S PECK DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 W GOLDLEAF CIR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561269",
"telephone_number": "323-298-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-MILLER",
"first_name": "ISIDORA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS11090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Patrocinio Martinez-Cerda, PSYD
- Alyssa Lynnette Martinez-Escalante
- Maria Guadalupe Martinez-Garcia, CNA. HHA
- Rebecca Martinez-Hannon, MD
- Maria Eugenia Martinez-Mejia
- Nallely Martinez-Morales Martinez-Morales
- Gladys Martinez-Perez
- Valeria Martinez-Rivera
- Alma Margarita Martinez-Salgado, RN
- Glenda Martinez-Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.