Active NPI
Selena Martin
- Social Worker
- Inglewood, CA
National Provider Identifier
1861131617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1027 E 66TH St
Inglewood, CA 90302-1809 - Phone
- (323) 203-2048
- NPI assigned
- May 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1027 E 66TH St
Inglewood, CA 90302-1809
Mailing address
18331 Milmore Ave
Carson, CA 90746-1753
Phone (310) 977-5077
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1861131617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18331 MILMORE AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907461753",
"telephone_number": "310-977-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 E 66TH ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903021809",
"telephone_number": "323-203-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SELENA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.