Individual provider Active NPI

Marla Jean English, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1619043437
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18371 Issued in CA
Practice address
11026 Pallon Way
San Diego, CA 92124-2719
Phone
(619) 296-6810
Fax
(858) 279-8398
NPI assigned
Nov 24, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 LCS18371 CA Primary

Addresses

Primary practice location

11026 Pallon Way
San Diego, CA 92124-2719

Mailing address

302 Washington St
# 625
San Diego, CA 92103-2110
Phone (619) 296-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000954 CA Practitioner - Clinical Social Worker 1850382177 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Diego, CA 92124
Phone (619) 296-6810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18371CAMDAddiction (Substance Use Disorder) Counselor
LCS18371CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1619043437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "address_2": "# 625",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "telephone_number": "619-296-6810",
            "fax_number": "858-279-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 PALLON WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242719",
            "telephone_number": "619-296-6810",
            "fax_number": "858-279-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "MARLA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.