EVERARDO MARIN LCSW
NPI 1689395683
Social Worker - Clinical in Tustin, CA

Active since September 07, 2022PECOS Enrolled
621 W 1ST ST, TUSTIN, CA 92780(714) 665-9890 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jul 10, 2024, Sep 7, 2022 (3 updates tracked since 2022).

About Everardo Marin Lcsw NPPES

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

EVERARDO MARIN LCSW (NPI 1689395683) is an individual clinical provider in Tustin, California, licensed in California (LCSW130929) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689395683
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEVERARDO MARINCredential: LCSW
Location Address621 W 1ST STTustin, CA 92780-2950
Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2022
Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
NPI 1689395683 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 · LCSW130929
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.
621 W 1ST ST, Tustin, CA 92780

Secondary Practice Locations 2

Location 111180 Warner Ave Ste 353Fountain Valley, CA 92708-4098 · Phone (714) 968-5789 · Fax (714) 202-2626
Location 29918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Everardo Marin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941715916
PECOS Enrollment IDI20250717001759
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 18

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

Social Worker (Clinical)
621 W 1ST ST
TUSTIN, CA 92780
Social Worker
621 W 1ST ST
TUSTIN, CA 92780
Social Worker
621 W 1ST ST
TUSTIN, CA 92780
Social Worker (Clinical)
621 W 1ST ST
TUSTIN, CA 92780
Marriage & Family Therapist
621 W 1ST ST
TUSTIN, CA 92780
Social Worker (Clinical)
621 W 1ST ST
TUSTIN, CA 92780
Social Worker
621 W 1ST ST
TUSTIN, CA 92780
Social Worker (Clinical)
621 W 1ST ST
TUSTIN, CA 92780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everardo Marin's NPI number?

The NPI number for Everardo Marin is 1689395683. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Everardo Marin located?

Everardo Marin practices at 621 W 1st St, Tustin, CA 92780. The listed phone number is (714) 665-9890.

What is Everardo Marin's specialty?

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

Is Everardo Marin enrolled in Medicare?

Yes. Everardo Marin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Everardo Marin was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.