Active NPI
Marcene C.S. Marcus, L.C.S.W.
- Clinical Social Worker
- Mission Viejo, CA
National Provider Identifier
1871616599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20551
- Practice address
- 27001 La Paz Rd
Mission Viejo, CA 92691-5502 - Phone
- (714) 235-1751
- NPI assigned
- Apr 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20551 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Psychiatry Inc | Current | Accepting new patients | |
| Ocean Psychological Services, Inc. | Past | 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.
-
- Psychiatry Physician
- Fremont, CA
- NPI 1396306338
-
- Behavior Analyst
- Fremont, CA
- NPI 1932865029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.