MARINA SPACEK
NPI 1124653480
Social Worker - Clinical in San Diego, CA

Q: What is Marina Spacek's NPI number?

The NPI number for Marina Spacek is 1124653480. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Q: What is Marina Spacek's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Marina Spacek was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2020PECOS EnrolledAccepts Medicare Assignment

1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110(619) 398-0355 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Mar 13, 2020, Mar 6, 2020 (3 updates tracked since 2020).

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About Marina Spacek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA SPACEK (NPI 1124653480) is an individual clinical provider in San Diego, California, licensed in California (112587) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124653480

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARINA SPACEK

Location Address1260 MORENA BLVD STE 100San Diego, CA 92110-3850

Mailing Address1260 Morena Blvd Ste 100San Diego, CA 92110-3850 · (619) 398-0355

Phone(619) 398-0355

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 6, 2020

Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1124653480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 112587

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1260 MORENA BLVD STE 100, San Diego, CA 92110

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Secondary Practice Location 1

Location 11202 Morena Blvd Ste 300San Diego, CA 92110-3844 · Phone (619) 275-0822

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marina Spacek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688047293

PECOS Enrollment IDI20230301002921

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAHARLIKA DEGRACIA

Case Manager/Care Coordinator