Active NPI
Marta Mayes
- Social Worker
- Laveen, AZ
National Provider Identifier
1619604089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3850 N 16TH St
Laveen, AZ 85226 - Phone
- (520) 796-3840
- NPI assigned
- Aug 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-23115 | AZ | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3850 N 16TH St
Laveen, AZ 85226
Mailing address
900 Technology Way Ste 320
Libertyville, IL 60048-5364
Phone (847) 680-2715
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 |
|---|---|---|---|
| LCSW-23115 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1619604089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TECHNOLOGY WAY STE 320",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485364",
"telephone_number": "847-680-2715",
"fax_number": "847-680-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 N 16TH ST",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "85226",
"telephone_number": "520-796-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "MARTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-23115",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.