Jessica Andrea Marca, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW104992 Issued in CA

Practice address

6631 Stephens Ranch Rd
La Verne, CA 91750-1146

Phone

(909) 593-4926

NPI assigned

May 3, 2018

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Andrea Marca Rengifo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1902395130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24628 ZENA CT",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914736",
            "telephone_number": "949-282-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 STEPHENS RANCH RD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501146",
            "telephone_number": "909-593-4926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Dove St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602941",
            "country_code": "US",
            "telephone_number": "909-354-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCA",
        "first_name": "JESSICA",
        "middle_name": "ANDREA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW76609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW104992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARCA RENGIFO",
            "middle_name": "ANDREA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Nichol Maglothin
• Isabel Teresa Maldonado
• Tiffany Joy Mallick, ATC
• Casey Mamora, OTR/L
• Sadiq Mandilawi, MD
• Mallory Kai Marin
• Deanne Marino, LCSW
• Mark H Barak MD
• Briana Marie Marquez
• Wendy P Marrufo, PT, DPT

• Clinical Social Worker in La Verne, CA
• Providers in La Verne, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.