Active NPI
Martha D Parra, MSW
- Clinical Social Worker
- Colton, CA
National Provider Identifier
1821138116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26484
- Practice address
- 1330 E Cooley Dr
Colton, CA 92324-3905 - Phone
- (909) 580-3705
- Fax
- (909) 386-0750
- NPI assigned
- Feb 7, 2007
- 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 | ASW 18255 | CA | |
| Clinical Social Worker | 1041C0700X | 26484 | CA | Primary |
Addresses
Primary practice location
1330 E Cooley Dr
Colton, CA 92324-3905
Mailing address
900 E Gilbert St
San Bernardino, CA 92415-0911
Phone (909) 387-7118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mparra@dbh.sbcounty.gob | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 18255 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1821138116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150911",
"telephone_number": "909-387-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E COOLEY DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923243905",
"telephone_number": "909-580-3705",
"fax_number": "909-386-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "MARTHA",
"middle_name": "D",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 18255",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26484",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mparra@dbh.sbcounty.gob",
"affiliation": "N",
"endpointDescription": "mparra@dbh.sbcounty.gov",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Department of Behavioral Health",
"address_1": "900 E Gilbert St",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924155230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.