Individual provider Active NPI

Jodie Marholz, MRAS,MA,LCSW

  • Mental Health Counselor
  • Torrance, CA
National Provider Identifier
1891947511
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
24050 Madison St'
217
Torrance, CA 90505-3523
Phone
(310) 463-6638
Fax
(310) 373-5464
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW77237 CA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

24050 Madison St'
217
Torrance, CA 90505-3523

Mailing address

24050 Madison St'
217
Torrance, CA 90505-3523
Phone (310) 463-6638

Other names 1

  • Jodie Kirner Professional name

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
I20241007001336 CA Practitioner - Clinical Social Worker 2466983002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24050 Madison St
Suite 217
Torrance, CA 90505-6017
Phone (310) 463-6638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCSW77237CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Therapy Individual Relationship Family and Child Coun CurrentSince Sep 26, 2024 Accepting new patients

Locations

24050 Madison St
Ste 217
Torrance, CA 90505
Phone (310) 375-8501

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.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1891947511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST'",
            "address_2": "217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053523",
            "telephone_number": "310-463-6638",
            "fax_number": "310-373-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST'",
            "address_2": "217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053523",
            "telephone_number": "310-463-6638",
            "fax_number": "310-373-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHOLZ",
        "first_name": "JODIE",
        "name_prefix": "Mrs.",
        "credential": "MRAS,MA,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW77237",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "KIRNER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.