Individual provider Active NPI

Mary Caroline Magpayo

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1790188670
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93793 Issued in CA
Practice address
22445 Alessandro Blvd Ste 113-114
Moreno Valley, CA 92553-8358
Phone
(951) 924-9791
NPI assigned
Oct 6, 2014
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 93793 CA Primary

Addresses

Primary practice location

22445 Alessandro Blvd Ste 113-114
Moreno Valley, CA 92553-8358

Mailing address

22445 Alessandro Blvd Ste 113-114
Moreno Valley, CA 92553-8358
Phone (951) 924-9791

Other practice location 1

1301 5th Ave
New York, NY 10029-3119
Phone (646) 329-7116

Other names 1

  • Mary Caroline Motus Former name

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

LicenseStateTypeSpecialty
93793CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Solutions for Kids & Families PastSince Jun 22, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1790188670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22445 ALESSANDRO BLVD STE 113-114",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538358",
            "telephone_number": "951-924-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22445 ALESSANDRO BLVD STE 113-114",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538358",
            "telephone_number": "951-924-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100293119",
            "country_code": "US",
            "telephone_number": "646-329-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGPAYO",
        "first_name": "MARY CAROLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY CAROLINE",
            "last_name": "MOTUS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.