Individual provider Active NPI

Martha Janet Tweed, LCSW

  • Clinical Social Worker
  • San Luis Obispo, CA
National Provider Identifier
1851553770
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12518 Issued in CA
Practice address
1264 Higuera St
Ste 100
San Luis Obispo, CA 93401-3171
Phone
(831) 594-3471
Fax
(831) 372-8595
NPI assigned
Jul 1, 2008
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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 12518 CA Primary

Addresses

Primary practice location

1264 Higuera St
Ste 100
San Luis Obispo, CA 93401-3171

Mailing address

1264 Higuera St
Ste 100
San Luis Obispo, CA 93401-3171
Phone (831) 594-3471

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1851553770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 HIGUERA ST",
            "address_2": "STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013171",
            "telephone_number": "831-594-3471",
            "fax_number": "831-372-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 HIGUERA ST",
            "address_2": "STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013171",
            "telephone_number": "831-594-3471",
            "fax_number": "831-372-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEED",
        "first_name": "MARTHA",
        "middle_name": "JANET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "12518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.