Active NPI
Philippa Mariner
- Clinical Social Worker
- Ontario, CA
National Provider Identifier
1598195976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88152
- Practice address
- 2940 Inland Empire Blvd
Ontario, CA 91764 - Phone
- (909) 458-1508
- NPI assigned
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 88152 | CA | Primary |
Addresses
Primary practice location
2940 Inland Empire Blvd
Ontario, CA 91764
Mailing address
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone (909) 458-1508
Other practice location 1
740 E Gilbert St
San Bernardino, CA 92415-0940
Phone (909) 387-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598195976 | Other | CA | LCSW |
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 |
|---|---|---|---|
| 88152 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1598195976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898",
"telephone_number": "909-458-1508",
"fax_number": "909-944-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91764",
"telephone_number": "909-458-1508"
}
],
"practiceLocations": [
{
"address_1": "740 E Gilbert St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924150940",
"country_code": "US",
"telephone_number": "909-387-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINER",
"first_name": "PHILIPPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "1598195976",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.