Individual provider Active NPI

Marcene C.S. Marcus, L.C.S.W.

  • Clinical Social Worker
  • Mission Viejo, CA
National Provider Identifier
1871616599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20551 Issued in CA
Practice address
27001 La Paz Rd
Mission Viejo, CA 92691-5502
Phone
(714) 235-1751
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20551 CA Primary

Addresses

Primary practice location

27001 La Paz Rd
Mission Viejo, CA 92691-5502

Mailing address

2654 Brand Dr
Tustin, CA 92782-1361
Phone (714) 389-9967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713001193 CA Practitioner - Clinical Social Worker 9931501061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Psychiatry IncGroup PAC ID 6305277633, 15 clinicians

Practice addresses (Care Compare)

39210 State St
Fremont, CA 94538-1456
Phone (510) 451-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20551CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Psychiatry Inc CurrentSince Jun 1, 2021 Accepting new patients
Ocean Psychological Services, Inc. PastSince Nov 16, 2021 Accepting new patients

Locations

39180 Liberty St
Ste 205
Fremont, CA 94538
Phone (510) 439-0657

39210 State St
Ste 100
Fremont, CA 94538
Phone (510) 399-7080

Organizations & group practices 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871616599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 BRAND DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821361",
            "telephone_number": "714-389-9967",
            "fax_number": "949-215-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "714-235-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MARCENE",
        "middle_name": "C.S.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.