South Oc Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21316 Issued in CA

Legal business name

SOUTH OC WELLNESS

Practice address

2730 Camino Capistrano
Suite 3
San Clemente, CA 92672-4847

Phone

(949) 709-7000

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Marla Stone, LCSWNPI 1144406364

Title

Director

Phone

(949) 709-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marla Brenda Stone, LCSW

  • Clinical Social Worker
  • San Clemente, CA
  • NPI 1144406364
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1932328093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 CAMINO CAPISTRANO",
            "address_2": "SUITE 3",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-709-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 CAMINO CAPISTRANO",
            "address_2": "SUITE 3",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724847",
            "telephone_number": "949-709-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-709-7000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socal Detox, LLC
• Victoria Joy Soneff
• Krista Sornborger, DPT
• South County Addiction Treatment Services, Inc.
• South County Urgent Care Medical Corporation
• South Orange County Outpatient Surgical Center Inc
• Katelyn Reno South
• Daniel A Souza, PT
• Terri A. Souza, PT
• Suzanne Marie Sowle, MS, SLP-CF

• Clinical Social Worker in San Clemente, CA
• Providers in San Clemente, 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 Jul 25, 2008; 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.