Active NPI
Belveth B. Marroquin, LCSW # 110655
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1619256252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110655
- Practice address
- 1000 Veteran Ave
Los Angeles, CA 90095-3306 - Phone
- (310) 267-5691
- NPI assigned
- Aug 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW # 30817 | CA | |
| Clinical Social Worker | 1041C0700X | 110655 | CA | Primary |
Addresses
Primary practice location
1000 Veteran Ave
Los Angeles, CA 90095-3306
Mailing address
1000 Veteran Ave
Los Angeles, CA 90095-3306
Phone (310) 267-5691
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110655 | CA | MD | Mental Health Counselor |
| ASW # 30817 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1619256252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VETERAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953306",
"telephone_number": "310-267-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 VETERAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953306",
"telephone_number": "310-267-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "BELVETH",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "LCSW # 110655",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-14",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW # 30817",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.