Individual provider Active NPI

Martha Louise Letchinger

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1689199598
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107740 Issued in CA
Practice address
1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464
Phone
(831) 426-5550
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 107740 CA Primary

Addresses

Primary practice location

1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464

Mailing address

1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464
Phone (831) 426-5550

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
I20220825000772 CA Practitioner - Clinical Social Worker 6305220336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107740CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pajaro Valley Prevention and Student Assistance Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1689199598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PACIFIC AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604464",
            "telephone_number": "831-426-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PACIFIC AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604464",
            "telephone_number": "831-426-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETCHINGER",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.