Active NPI
Mariela Cortez, ASW
- Clinical Social Worker
- Huntington Park, CA
National Provider Identifier
1750715884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122762
- Practice address
- 6330 Rugby Ave Ste 200
Huntington Park, CA 90255-6938 - Phone
- (213) 948-2127
- Fax
- (213) 652-1844
- NPI assigned
- Aug 26, 2013
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90077 | CA | |
| Clinical Social Worker | 1041C0700X | 90077 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 122762 | CA | Primary |
Addresses
Primary practice location
6330 Rugby Ave Ste 200
Huntington Park, CA 90255-6938
Mailing address
6330 Rugby Ave Ste 200
Huntington Park, CA 90255-6938
Phone (213) 760-3593
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 |
|---|---|---|---|
| 90077 | CA | MD | Mental Health Counselor |
| 122762 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1750715884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 RUGBY AVE STE 200",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902556938",
"telephone_number": "213-760-3593",
"fax_number": "213-652-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 RUGBY AVE STE 200",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902556938",
"telephone_number": "213-948-2127",
"fax_number": "213-652-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "MARIELA",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "90077",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90077",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "122762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.