Individual provider Active NPI

Marcelyn Opal Billy

  • Social Worker
  • Oceanside, CA
National Provider Identifier
1538840939
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW110331 Issued in CA
Practice address
1816 Portofino Dr
Oceanside, CA 92054-6130
Phone
(760) 433-6361
NPI assigned
Jul 27, 2023
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW110331 CA Primary

Addresses

Primary practice location

1816 Portofino Dr
Oceanside, CA 92054-6130

Mailing address

1519 Pepperwood Way
Oceanside, CA 92056-5495
Phone (914) 714-8453

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
ASW110331CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone House CurrentSince Jul 31, 2023 Accepting new patients

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, 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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1538840939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 PEPPERWOOD WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565495",
            "telephone_number": "914-714-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 PORTOFINO DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546130",
            "telephone_number": "760-433-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLY",
        "first_name": "MARCELYN",
        "middle_name": "OPAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW110331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.