Active NPI
Martha Veronica Garcia, ACSW
- Clinical Social Worker
- Fountain Valley, CA
National Provider Identifier
1649830449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 90006
- Practice address
- 18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912 - Phone
- (714) 450-4118
- Fax
- (714) 861-6430
- NPI assigned
- Jun 14, 2019
- 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 | 90006 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912
Mailing address
555 Maine Ave Unit 419
Long Beach, CA 90802-1168
Phone (310) 525-6040
Other practice location 1
2101 Magnolia Ave
Long Beach, CA 90806-4521
Phone (310) 525-6040
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 |
|---|---|---|---|
| 90006 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1649830449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MAINE AVE UNIT 419",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021168",
"telephone_number": "310-525-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912",
"telephone_number": "714-450-4118",
"fax_number": "714-861-6430"
}
],
"practiceLocations": [
{
"address_1": "2101 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908064521",
"country_code": "US",
"telephone_number": "310-525-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "MARTHA",
"middle_name": "VERONICA",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.