MEDICARE: MARY MARROQUIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	68516	CA

General Provider Information

NPI Number	:	1477804128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY MARROQUIN LCSW

Provider Business Mailing Address
First Line	:	8300 S VERMONT AVE FL 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3493
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 S VERMONT AVE FL 1
Second Line	:	FIRST FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3493
Country	:	US
Telephone Number	:	323-525-6400
Fax Number	:	323-752-8629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2012
Last Update Date	:	09/18/2015

Similar Medicare Providers

1427177682 — STARLIGHT MELODY GARCIA LCSW
Practice Location Address:

8300 S VERMONT AVE FL 4
LOS ANGELES, CA
90044-3493

Practice Phone: 213-924-0616
Practice Fax:

1346412566 — KRYSTAL MANNING LPT
Practice Location Address:

8300 S VERMONT AVE
LOS ANGELES, CA
90044-3493

Practice Phone: 323-525-6400
Practice Fax: 323-565-2133

1689834772 — FRANCIA ROLDA OTR/L
Practice Location Address:

8300 S VERMONT AVE FL 1
LOS ANGELES, CA
90044-3493

Practice Phone: 323-525-6400
Practice Fax:

1871756213 — CAMILLE FORBY
Practice Location Address:

8300 S VERMONT AVE FL 1
LOS ANGELES, CA
90044-3493

Practice Phone: 323-525-6400
Practice Fax:

1376773549 — JESSICA JASMINE BRAGANZA LCSW
Practice Location Address:

8300 S VERMONT AVE
LOS ANGELES, CA
90044-3493

Practice Phone: 213-822-9977
Practice Fax:

1962713453 — JESSICA K. THOMAS PSY.D
Practice Location Address:

8300 S VERMONT AVE
LOS ANGELES, CA
90044-3493

Practice Phone: 323-965-6091
Practice Fax:

Directions to “ MARY MARROQUIN LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.