Individual provider Active NPI

Linda Marie Maerov

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1952579302
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27097 Issued in CA
Practice address
220 Newport Center Dr Ste 1
Newport Beach, CA 92660
Phone
(949) 610-9915
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27097 CA
Clinical Social Worker 1041C0700X 27097 CA Primary

Addresses

Primary practice location

220 Newport Center Dr Ste 1
Newport Beach, CA 92660

Mailing address

2 Fecamp
Newport Coast, CA 92657-1045
Phone (949) 610-9915

Other names 1

  • Linda Marie Maerov 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
I20151123001706 CA Practitioner - Clinical Social Worker 8123328184 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Newport Ctr Dr
206 Linda Marie Maerov LCSW Mba
Newport Beach, CA 92660-7503
Phone (949) 610-9915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1952579302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FECAMP",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571045",
            "telephone_number": "949-610-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-610-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEROV",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "27097",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MAEROV",
            "middle_name": "MARIE",
            "credential": "LCSW, MBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.